腹内压变异率与小儿急腹症患者病情严重程度及预后的关系

发布时间：2018-03-01 12:36

  本文关键词： 腹内压变异率 病情评估 早期预警评分 预后　出处：《重庆医学》2017年17期 　论文类型：期刊论文

【摘要】：目的探讨腹内压变异率与小儿急腹症病情严重程度及预后的关系。方法回顾性分析2013年1月至2016年1月该院小儿急诊科收治的腹急腹症患儿125例,所有患者均经膀胱测压法检测腹内压,根据入院时腹内压和入院后24h平均腹内压计算腹内压变化率(IAPVR),并采用儿童早期预警评分进行患者病情评估,采用Spearman相关性分析探讨IAPVR与患者病情(PEWS评分)的关系,并采用COX回顾模型探讨IAPVR与患者入住ICU的关系。结果 IAPVR50%的患者PEWS评分为(8.2±2.3)分,明显高于IAPVR≤50%的患者。两组患者在急诊留观、普通住院、急诊手术、入住ICU的分布差异有统计学意义(P0.05);IAPVR与患儿就诊时PEWS评分呈负相关(r=-0.365,P0.01),与入院24hPEWS、临床预后呈正相关(r=0.325,r=0.472,P0.01),入院时和24h患者PEWS评分均与临床预后呈正相关(r=0.479,r=0.512,P0.01);24hPEWS(P=0.014)、IAPVR(P=0.03)是急腹症患儿入住ICU的独立危险因素。结论腹内压变异率与急腹症患儿预后及病情具有较好的相关性,可以运用于评价患儿病情。
[Abstract]:Objective to investigate the relationship between the rate of variation of intra-abdominal pressure and the severity and prognosis of acute abdomen in children. Methods A retrospective analysis of 125 cases of children with acute abdomen was conducted from January 2013 to January 2016 in the pediatric emergency department of our hospital. All the patients were measured by bladder manometry. The change rate of intraabdominal pressure (IAPVRV) was calculated according to the intra-abdominal pressure on admission and the mean intra-abdominal pressure at 24 h after admission. The early warning score was used to evaluate the patient's condition. Spearman correlation analysis was used to explore the relationship between IAPVR and patients' disease score (PEWS), and COX retrospective model was used to explore the relationship between IAPVR and ICU. Results the PEWS score of 50% patients with IAPVRwas 8.2 卤2.3. It was significantly higher than that in patients with IAPVR 鈮，

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