本文關(guān)鍵詞： 腹內(nèi)壓變異率 病情評(píng)估 早期預(yù)警評(píng)分 預(yù)后　出處：《重慶醫(yī)學(xué)》2017年17期 　論文類型：期刊論文

【摘要】：目的探討腹內(nèi)壓變異率與小兒急腹癥病情嚴(yán)重程度及預(yù)后的關(guān)系。方法回顧性分析2013年1月至2016年1月該院小兒急診科收治的腹急腹癥患兒125例,所有患者均經(jīng)膀胱測(cè)壓法檢測(cè)腹內(nèi)壓,根據(jù)入院時(shí)腹內(nèi)壓和入院后24h平均腹內(nèi)壓計(jì)算腹內(nèi)壓變化率(IAPVR),并采用兒童早期預(yù)警評(píng)分進(jìn)行患者病情評(píng)估,采用Spearman相關(guān)性分析探討IAPVR與患者病情(PEWS評(píng)分)的關(guān)系,并采用COX回顧模型探討IAPVR與患者入住ICU的關(guān)系。結(jié)果 IAPVR50%的患者PEWS評(píng)分為(8.2±2.3)分,明顯高于IAPVR≤50%的患者。兩組患者在急診留觀、普通住院、急診手術(shù)、入住ICU的分布差異有統(tǒng)計(jì)學(xué)意義(P0.05);IAPVR與患兒就診時(shí)PEWS評(píng)分呈負(fù)相關(guān)(r=-0.365,P0.01),與入院24hPEWS、臨床預(yù)后呈正相關(guān)(r=0.325,r=0.472,P0.01),入院時(shí)和24h患者PEWS評(píng)分均與臨床預(yù)后呈正相關(guān)(r=0.479,r=0.512,P0.01);24hPEWS(P=0.014)、IAPVR(P=0.03)是急腹癥患兒入住ICU的獨(dú)立危險(xiǎn)因素。結(jié)論腹內(nèi)壓變異率與急腹癥患兒預(yù)后及病情具有較好的相關(guān)性,可以運(yùn)用于評(píng)價(jià)患兒病情。
[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 鹵2.3. It was significantly higher than that in patients with IAPVR 鈮，

本文編號(hào)：1551973