CAJ | 학술논문

目的：探讨不同的膀胱内注入液量对危重患者腹内压( intra-abdominal pressure, IAP)测量值的影响。方法采取前瞻性队列研究,将我院重症监护病房的40例具有腹腔高压危险因素患者,均采取仰卧位,通过连续注入膀胱内不同液量(注入液量25 ml和50 ml),测得各注入液量下的IAP值并进行分析比较。结果 IAP25ml值为8~21(13.95±3.15)mmHg,IAP50ml值为9~21(14.90±3.46)mmHg,差异有统计学意义(P<0.0001)。 IAP25ml和IAP50ml平均差值为0.95 mmHg[95%可信区间(CI)0.60~1.30,上下限分别是3.1和-1.2 mmHg],IAP50ml与 IAP25ml间的Spearman秩相关系数为0.924(95%CI 0.860~0.959,P<0.0001)。结论仰卧位时膀胱内注入液量50 ml与25 ml比较,IAP测量值偏高,推荐膀胱内注入液量以不超过25 ml为宜。
목적：탐토불동적방광내주입액량대위중환자복내압( intra-abdominal pressure, IAP)측량치적영향。방법채취전첨성대렬연구,장아원중증감호병방적40례구유복강고압위험인소환자,균채취앙와위,통과련속주입방광내불동액량(주입액량25 ml화50 ml),측득각주입액량하적IAP치병진행분석비교。결과 IAP25ml치위8~21(13.95±3.15)mmHg,IAP50ml치위9~21(14.90±3.46)mmHg,차이유통계학의의(P<0.0001)。 IAP25ml화IAP50ml평균차치위0.95 mmHg[95%가신구간(CI)0.60~1.30,상하한분별시3.1화-1.2 mmHg],IAP50ml여 IAP25ml간적Spearman질상관계수위0.924(95%CI 0.860~0.959,P<0.0001)。결론앙와위시방광내주입액량50 ml여25 ml비교,IAP측량치편고,추천방광내주입액량이불초과25 ml위의。
Objective To investigate the effect of different intravesical infusion volumes on the measurement of intra-abdominal pressure ( IAP) in critically ill patients. Methods Prospective cohort study was taken. Forty critically ill patients with risk for intra-abdominal hypertension ( IAH) in the intensive care unit of Shijiazhuang Central Hospital were studied. Two infusion volumes were 25 ml and 50 ml respectively. Each patient was measured IAP at different volumes ( IAP25 ml and IAP50 ml ) in supine position for comparison. Results IAP25 ml was significantly lower than IAP50 ml [(8-21 (13. 95±3. 15) mmHg vs. 9-21(14. 90±3. 46) mmHg;P<0. 0001]. The average difference between the IAP25 ml and IAP50 ml was 0. 95 mmHg (95% CI 0. 60-1. 30;lower and upper limits of agreement: -1. 2 mmHg and 3. 1 mmHg, respectively). The Spearman rank correlation coefficient between IAP25 ml and IAP50 ml was 0. 924 (95%CI 0. 860-0. 959, P<0. 0001). Conclusion In the supine position, IAP50 ml is higher than IAP25 ml . The recommended clinical infusion volume is no more than 25 ml.