正常腹內壓影響因素的臨床研究_《中國普外基礎與臨床雜志》

作者：

楊新平 ¹ , 黃衛民 ² , 朱上林 ² , 姜洪池 ³

1.上海市黃浦區腫瘤防治院外科（上海200126）;;
2.上海市黃浦區中心醫院外科（上海200002）;;
3.哈爾濱醫科大學第一臨床醫學院普外科（哈爾濱150001）;

關鍵詞：

腹腔壓力腹腔間室綜合征診斷技術和程序

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目的探討正常腹內壓的影響因素，建立腹內壓回歸方程。
方法應用膀胱測壓法測定106例住院患者的腹內壓，并對年齡、性別、身高、體重、體質指數、既往和近期腹部手術史、住院原因、合并癥情況及數量等14項因子與腹內壓的關系進行分析。
結果住院患者平均腹內壓為5.5 mm Hg（1 mm Hg=0.133 kPa），范圍為0.4～12.8 mm Hg。各級體質指數相應的腹內壓差異有顯著性意義（F=5.550，P＜0.01）。男性腹內壓比女性高2.0 mm Hg，差異有顯著性意義（t=3.122，P＜0.01）。其他12種因素對腹內壓無明顯影響（P gt;0.05）。
結論正常腹內壓可能受性別和體質指數影響，存在明顯的個體差異。

引用本文： 楊新平,黃衛民,朱上林,姜洪池. 正常腹內壓影響因素的臨床研究. 中國普外基礎與臨床雜志, 2004, 11(5): 444-446. doi: 復制

1.	Cheatham ML, White MW, Sagraves SG, et al. Abdominal perfusion pressure: a superior parameter in the assessment of intraabdominal hypertension [Ｊ]. J Trauma， 2000; 49(4)∶ 621.
2.	Mayberry JC, Goldman RK, Mullins RJ, et al. Surveyed opinion of American trauma surgeons on the prevention of the abdominal compartment syndrome [Ｊ]. J Trauma， 1999; 47(3)∶509.
3.	楊新平，姜洪池. 腹腔內高壓與腹腔間室綜合征 [Ｊ]. 中國普外基礎與臨床雜志， 2002； 9（6）∶381.
4.	Fusco MA, Martin RS, Chang MC. Estimation of intraabdominal pressure by bladder pressure measurement: validity and methodology [Ｊ]. J Trauma， 2001; 50(2)∶297.
5.	Kron IL, Harman PK, Nolan SP. The measurement of intraabdominal pressure as a criterion for abdominal reexploration [Ｊ]. Ann Surg， 1984; 199(1)∶28.
6.	Bjrntorp P,eds. International textbook of obesity [M]. 1st ed. Chichester: John Wiley & Sons, LTD, 2001∶23-30.
7.	Offner PJ, de Souza AL, Moore EE, et al. Avoidance of abdominal compartment syndrome in damagecontrol laparotomy after trauma [Ｊ]. Arch Surg， 2001; 136(6)∶676.
8.	Pottecher T, Segura P, Launoy A. Abdominal compartment syndrome [Ｊ]. Ann Chir， 2001; 126(3)∶192.
9.	Chen RJ, Fang JF, Chen MF. Intraabdominal pressure monitoring as a guideline in the nonoperative management of blunt hepatic trauma [Ｊ]. J Trauma， 2001; 51(1)∶44.
10.	Ertel W, Oberholzer A, Platz A, et al. Incidence and clinical pattern of the abdominal compartment syndrome after “damagecontrol” laparotomy in 311 patients with severe abdominal and/or pelvic trauma [Ｊ]. Crit Care Med, 2000; 28(6)∶1747.

1. Cheatham ML, White MW, Sagraves SG, et al. Abdominal perfusion pressure: a superior parameter in the assessment of intraabdominal hypertension [Ｊ]. J Trauma， 2000; 49(4)∶ 621.
2. Mayberry JC, Goldman RK, Mullins RJ, et al. Surveyed opinion of American trauma surgeons on the prevention of the abdominal compartment syndrome [Ｊ]. J Trauma， 1999; 47(3)∶509.
3. 楊新平，姜洪池. 腹腔內高壓與腹腔間室綜合征 [Ｊ]. 中國普外基礎與臨床雜志， 2002； 9（6）∶381.
4. Fusco MA, Martin RS, Chang MC. Estimation of intraabdominal pressure by bladder pressure measurement: validity and methodology [Ｊ]. J Trauma， 2001; 50(2)∶297.
5. Kron IL, Harman PK, Nolan SP. The measurement of intraabdominal pressure as a criterion for abdominal reexploration [Ｊ]. Ann Surg， 1984; 199(1)∶28.
6. Bjrntorp P,eds. International textbook of obesity [M]. 1st ed. Chichester: John Wiley & Sons, LTD, 2001∶23-30.
7. Offner PJ, de Souza AL, Moore EE, et al. Avoidance of abdominal compartment syndrome in damagecontrol laparotomy after trauma [Ｊ]. Arch Surg， 2001; 136(6)∶676.
8. Pottecher T, Segura P, Launoy A. Abdominal compartment syndrome [Ｊ]. Ann Chir， 2001; 126(3)∶192.
9. Chen RJ, Fang JF, Chen MF. Intraabdominal pressure monitoring as a guideline in the nonoperative management of blunt hepatic trauma [Ｊ]. J Trauma， 2001; 51(1)∶44.
10. Ertel W, Oberholzer A, Platz A, et al. Incidence and clinical pattern of the abdominal compartment syndrome after “damagecontrol” laparotomy in 311 patients with severe abdominal and/or pelvic trauma [Ｊ]. Crit Care Med, 2000; 28(6)∶1747.

《中國普外基礎與臨床雜志》

正常腹內壓影響因素的臨床研究

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《中國普外基礎與臨床雜志》

正常腹內壓影響因素的臨床研究

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

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