摘要
为了探讨腹内压监测在急腹症患儿诊疗中的应用价值,本研究对2013年5月至2016年5月收治在承德医学院附属医院小儿外科的150例急腹症患儿的临床资料进行统计分析。结果显示,急腹症组弥漫性腹部疾病患儿的IAP显著高于腹部局部炎症患儿(p<0.05);弥漫性腹部疾病、腹部局部炎症患儿的IAP均显著高于对照组(p<0.05),IAP(>7 cm H_2O,>10 cm H_2O)比例(66.7%;54.7%)均显著高于对照组(20.0%;0%)(p<0.05),不良反应发生率(10.0%)显著高于对照组(0%)(p<0.05),IAP与腹部压痛、反跳痛、肌紧张等腹膜炎刺激症状、WBC均显著相关(p<0.05),WBC、IAP值诊断急腹症的灵敏性、特异性、阳性预测值、阴性预测值、准确率一致。因此,腹内压监测在急腹症患儿诊疗中具有良好的应用价值。
In order to investigate the application value of intra-abdominal pressure monitoring in the treatment of children with acute abdomen, the clinical data of 150 cases of children with acute abdomen, who were treated in Pediatric Surgery, Chengde Medical College Hospital from May 2013 to May 2016, were statistically analyzed. The results showed that in the acute abdomen group, the IAP of children with diffuse abdominal diseases was significantly higher than that of children with abdominal local inflammation （p〈0.05）; The IAP of children with diffuse abdominal diseases and abdomen local inflammation was significantly higher than the control group （p〈0.05）, and the ratios （66.7%; 54.7%） of IAP （〉7 cm H2O, 〉10 cm H2O） were higher than those of control group （20.0%; 0%）, （p 〈0.05）. The ratio of adverse reactions （10.0%） was significantly higher than that of control group （0%） （p 〈0.05） as well. IAP were obviously associated with abdominal tenderness, rebound tenderness, muscle tension and other peritonitis irritation, WBC （p〈0.05）. WBC and IAP had the same sensitivity, specificity, positive predictive value, negative predictive value and accuracy in the diagnosis of acute abdomen. Therefore, intra-abdominal pressure monitoring had a high application value in diagnosing and treating children with acute abdomen.
出处
《基因组学与应用生物学》
CAS
CSCD
北大核心
2017年第5期1870-1875,共6页
Genomics and Applied Biology
基金
河北省承德市科学技术研究与发展计划项目(20142039)资助
关键词
腹内压监测
急腹症
诊疗
应用价值
Intra-abdominal pressure monitoring, Acute abdomen, Diagnose and treat, Application value
