摘要
目的 观察腹腔内压力升高对呼吸功能的影响.方法 对40例重症胰腺炎患者,连续监测腹腔内压力、血气分析及APACHEⅡ评分的变化.结果 随着腹内压的升高,呼吸频率由（24.6±3.0）次/min升至（47.8±10.5）次/min,两者呈正相关（r=0.763,P〈0.05）;氧分压由（94.2±3.8）mmHg降至（45.2±8.0）mmHg,两者呈负相关（r=-0.768,P〈0.05）;二氧化碳分压由（35.9±4.1）mmHg升高到（55.1±6.7）mmHg,两者呈正相关（r=0.637,P〈0.05）;APACHEⅡ评分由（13.3±3.6）分升高到（20.7±13.9）分,两者呈正相关（r=0.789,P〈0.05）.结论 腹腔内压力升高与患者呼吸功能变化密切相关,及时降低腹内压及有效的呼吸支持可预防和减少治疗过程中并发症,提高抢救成功率.
Objective To study the effects of the changes of intra-abdominal pressure on respiratory function. Methods The intra-abdominal pressure,blood gas analysis and APACHE II score were measured thrice per day in 40 patients with severe acute pancreatitis. Results As the intra-abdominal pressure increased from （2.02±0.43）kPa to（3.38±0.49）kPa,the breathing rate increased gradually from （24.6±3.0） to （47.8±10.5）,there was a positive correlation between the two variables （r=0.763,P〈0.05）;oxygen partial pressure decreased from （94.2±3.8）mmHg to（45.2±8.0）mmHg,there was a negative correlation between the two variables（r=-0.768,P〈0.05）;and APACHE II score increased from （13.3±3.6） to （20.7±13.9）,there was a positive correlation between the two variables（r=0.789,P〈0.05）. Conclusions The increase of intra-abdominal pressure is closely correlated with the effect of respiratory function. A timely manner to reduce intra-abdominal pressure and effective respiratory support can reduce complications of treatment and improve the rate of received rescue.
出处
《中华护理教育》
2010年第10期459-461,共3页
Chinese Journal of Nursing Education
基金
皖南医学院中青年科研基金资助项目(WK200715F)
关键词
腹腔
压力
呼吸功能不全
腹腔间室综合征
Abdominal Cavity
Pressure
Respiratory Insufficiency
Abdominal Compartment Syndrome
