腹内压监测在综合ICU的临床观察和应用  

Abdomen cavity pressure monitoring observed and applied in ICU

作　　者：林玫瑞[1] 袁琳[1] 黄雪琴[1] 

机构地区：[1]汕头大学医学院第一附属医院,515041

出　　处：《中国实用医药》2012年第9期30-31,共2页China Practical Medicine

摘　　要：目的研究并检测腹内压在综合ICU危重患者监测和治疗中的临床价值。方法对ICU危重患者动态膀胱内压监测,分析腹腔内压升高对呼吸功能、血流动力学及病情等方面变化的影响,并对症治疗。结果常规监测125例ICU患者中,首次腹内压监测前后患者心率、血压、末梢血氧饱和度、呼吸等改变无统计学意义(P均>0.05);腹压升高组经降腹内压治疗后,APECHII评分及CVP均较治疗前降低(P<0.05),氧合指数明显升高(P<0.01)。结论经膀胱内测压方法简便易行,创伤性相对小,安全性高;动态监测腹内压并采取及时有效的治疗措施降低腹内压可以有效降低腹内压增高所带来的不良影响。Objective To study and test the critical comprehensive value of intra-abdominal pressure in monitoring and treatment of ICU patients.Methods Via monitoring the dynamic bladder pressure of ICU patients to analysis the influence of increasing abdominal cavity pressure on respiratory function,blood flow dynamics and condition and take a symptomatic treatment to disease.Results In the routine examination of 125 ICU patients,the change of heart rate,blood pressure,peripheral blood oxygen saturation and breathing before and after the first intra-abdominal pressure monitoring had no sense in statistics（P 0.05）.After treatment by decreasing pressure,the APECH II score and CVP of the group with high intra-abdominal pressure were reduced effectively（P〈0.05）,and oxygenation index increased significantly（P〈0.01）.Conclusion The bladder pressure method is feasible,small traumatic and high safety.Dynamic monitoring intra-abdominal pressure and taking effective treatment measures timely to lower intra-abdominal pressure can reduce the adverse effects resulted from the increase of intra-abdominal pressure effectively.

关 键 词：腹内压 膀胱内压监测 临床应用 

分 类 号：R459.7[医药卫生—急诊医学]