粘连性肠梗阻患者腹内压与病变严重程度的相关性研究  

Study of Adhesive Intestinal Obstruction in Patients with Intra-abdominal Pressure Associated with the Severity of Disease

作　　者：杜伟钊[1] 郝俊[1] 董功航[1] 李应军[1] 

机构地区：[1]广州医学院附属深圳沙井医院普外科,深圳518104

出　　处：《航空航天医学杂志》2012年第8期918-919,共2页Journal of Aerospace medicine

摘　　要：目的:研究粘连性肠梗阻的病变严重程度与腹内压的关系。方法:对确诊粘连性肠梗阻内住院治疗的120例患者,在入院后每隔8 h采用间接法测量腹内压,不干预治疗方案。结果:手术组患者的腹内压明显高于非手术组(P<0.01),绞窄的腹内压明显高于非绞窄(P<0.01)。结论:腹内压的变化与粘连性肠梗阻的病变严重程度存在相关性。对粘连性肠梗阻常规进行腹内压的监测,不但可及时诊断腹腔间隙综合征,而且可辅助判断粘连性肠梗阻的手术时机以及预后。Objective：To study the adhesive intestinal obstruction in disease severity and the relationship between intra-abdominal pressure. Methods： Diagnosis of adhesive intestinal obstruction in 120 patients hospitalized in the every 8h after admission using the indirect method of measuring intra - abdominal pressure, do not interfere with treatment. Results： With intra - abdominal pressure and non - surgical, and non - strangulation strangulation and there is some correlation, lntra - abdominal pressure and obstruction relief time there is a positive correlation （ P 〈0. 01 ）. Conclusions ： Intra - abdominal pressure changes and adhesive intestinal obstruction in disease severity correlated, of adhesive intestinal obstruction routine monitoring of intra - abdominal pressure, not only the abdominal compartment syndrome can be diagnosed in time, and can assist to determine the timing of surgery of adhesive intestinal obstruction and prognosis.

关 键 词：粘连性肠梗阻 腹内压 相关性 

分 类 号：R574.2[医药卫生—消化系统]