关于监测ICU患者腹内压的重要性及针刺治疗腹内高压的探讨  

Discussion on the Importance of Monitoring Intraabdominal Pressure in ICU Patients and Acupuncture Treatment of Intraabdominal Hypertension

作　　者：鲍孟雪 全爱君 侯叶厅 尚莉莉 

机构地区：[1]黑龙江中医药大学研究生院,黑龙江 哈尔滨 [2]黑龙江中医药大学附属第三医院,黑龙江 哈尔滨 [3]北京中西医结合医院肾内科,北京

出　　处：《临床医学进展》2024年第9期1341-1346,共6页Advances in Clinical Medicine

摘　　要：腹内高压是重症监护室患者常见的病理现象,因对腹内压相关知识掌握的缺乏、腹内压测量方法的不了解导致无法及时对腹内高压进行正确有效的诊疗,使其发展为腹腔间隔室综合征这一危重征象,因其危害不仅只会限于腹腔,它可以通过直接及间接的方式影响患者多个器官,造成患者发生多功能脏器障碍甚至衰竭,极大地增加患者死亡率。故笔者从腹内压研究的历史沿革,腹内高压与腹腔间隔室综合征的概述、原因、危害,腹内压的测量方式、针刺治疗腹内高压这六个方面展开综述,为临床诊治和相关研究做以参考,以期对重症监护病房常规测量、腹内压、及时对腹内高压进行诊治引起重视做出贡献。Intraabdominal hypertension is a common pathological phenomenon in patients in intensive care unit. Due to the lack of knowledge about intraabdominal pressure and the lack of understanding of the measurement methods of intraabdominal pressure, correct and effective diagnosis and treatment of intraabdominal hypertension cannot be performed in time, resulting in the development of abdominal compartment syndrome, a critical sign, because its harm is not limited to the abdominal cavity. It can affect multiple organs of patients through direct and indirect ways, resulting in multifunctional organ disorders and even failure of patients, greatly increasing the mortality of patients. Therefore, the author summarized the history of the study of intraabdominal pressure, the overview, causes and hazards of intraabdominal hypertension and abdominal compartment syndrome, the measurement methods of intraabdominal pressure, and the treatment of intraabdominal hypertension by acupuncture, so as to provide a reference for clinical diagnosis and treatment and related research, with a view to making contributions to the routine measurement, intraabdominal pressure and timely diagnosis and treatment of intraabdominal hypertension in intensive care units.

关 键 词：腹内压 腹内高压 腹腔间隔室综合征 针刺治疗 重症监护室 

分 类 号：R24[医药卫生—中医临床基础]