• 1.上海市黃浦區(qū)腫瘤防治院外科（上海200126）;;
  • 2.上海市黃浦區(qū)中心醫(yī)院外科（上海200002）;;
  • 3.哈爾濱醫(yī)科大學(xué)第一臨床醫(yī)學(xué)院普外科（哈爾濱150001）;

目的  探討正常腹內(nèi)壓的影響因素，建立腹內(nèi)壓回歸方程。
方法  應(yīng)用膀胱測(cè)壓法測(cè)定106例住院患者的腹內(nèi)壓，并對(duì)年齡、性別、身高、體重、體質(zhì)指數(shù)、既往和近期腹部手術(shù)史、住院原因、合并癥情況及數(shù)量等14項(xiàng)因子與腹內(nèi)壓的關(guān)系進(jìn)行分析。
結(jié)果  住院患者平均腹內(nèi)壓為5.5 mm Hg（1 mm Hg=0.133 kPa），范圍為0.4～12.8 mm Hg。各級(jí)體質(zhì)指數(shù)相應(yīng)的腹內(nèi)壓差異有顯著性意義（F=5.550，P＜0.01）。男性腹內(nèi)壓比女性高2.0 mm Hg，差異有顯著性意義（t=3.122，P＜0.01）。其他12種因素對(duì)腹內(nèi)壓無明顯影響（P gt;0.05）。
結(jié)論  正常腹內(nèi)壓可能受性別和體質(zhì)指數(shù)影響，存在明顯的個(gè)體差異。

引用本文： 楊新平,黃衛(wèi)民,朱上林,姜洪池. 正常腹內(nèi)壓影響因素的臨床研究. 中國(guó)普外基礎(chǔ)與臨床雜志, 2004, 11(5): 444-446. doi: 復(fù)制

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2. Mayberry JC, Goldman RK, Mullins RJ, et al. Surveyed opinion of American trauma surgeons on the prevention of the abdominal compartment syndrome [Ｊ]. J Trauma， 1999; 47(3)∶509.
3. 楊新平， 姜洪池. 腹腔內(nèi)高壓與腹腔間室綜合征 [Ｊ]. 中國(guó)普外基礎(chǔ)與臨床雜志， 2002； 9（6）∶381.
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5. Kron IL, Harman PK, Nolan SP. The measurement of intraabdominal pressure as a criterion for abdominal reexploration [Ｊ]. Ann Surg， 1984; 199(1)∶28.
6. Bjrntorp P,eds. International textbook of obesity [M]. 1st ed. Chichester: John Wiley & Sons, LTD, 2001∶23-30.
7. Offner PJ, de Souza AL, Moore EE, et al. Avoidance of abdominal compartment syndrome in damagecontrol laparotomy after trauma [Ｊ]. Arch Surg， 2001; 136(6)∶676.
8. Pottecher T, Segura P, Launoy A. Abdominal compartment syndrome [Ｊ]. Ann Chir， 2001; 126(3)∶192.
9. Chen RJ, Fang JF, Chen MF. Intraabdominal pressure monitoring as a guideline in the nonoperative management of blunt hepatic trauma [Ｊ]. J Trauma， 2001; 51(1)∶44.
10. Ertel W, Oberholzer A, Platz A, et al. Incidence and clinical pattern of the abdominal compartment syndrome after “damagecontrol” laparotomy in 311 patients with severe abdominal and/or pelvic trauma [Ｊ]. Crit Care Med, 2000; 28(6)∶1747.
  1. 1. Cheatham ML, White MW, Sagraves SG, et al. Abdominal perfusion pressure: a superior parameter in the assessment of intraabdominal hypertension [Ｊ]. J Trauma， 2000; 49(4)∶ 621.
  2. 2. Mayberry JC, Goldman RK, Mullins RJ, et al. Surveyed opinion of American trauma surgeons on the prevention of the abdominal compartment syndrome [Ｊ]. J Trauma， 1999; 47(3)∶509.
  3. 3. 楊新平， 姜洪池. 腹腔內(nèi)高壓與腹腔間室綜合征 [Ｊ]. 中國(guó)普外基礎(chǔ)與臨床雜志， 2002； 9（6）∶381.
  4. 4. Fusco MA, Martin RS, Chang MC. Estimation of intraabdominal pressure by bladder pressure measurement: validity and methodology [Ｊ]. J Trauma， 2001; 50(2)∶297.
  5. 5. Kron IL, Harman PK, Nolan SP. The measurement of intraabdominal pressure as a criterion for abdominal reexploration [Ｊ]. Ann Surg， 1984; 199(1)∶28.
  6. 6. Bjrntorp P,eds. International textbook of obesity [M]. 1st ed. Chichester: John Wiley & Sons, LTD, 2001∶23-30.
  7. 7. Offner PJ, de Souza AL, Moore EE, et al. Avoidance of abdominal compartment syndrome in damagecontrol laparotomy after trauma [Ｊ]. Arch Surg， 2001; 136(6)∶676.
  8. 8. Pottecher T, Segura P, Launoy A. Abdominal compartment syndrome [Ｊ]. Ann Chir， 2001; 126(3)∶192.
  9. 9. Chen RJ, Fang JF, Chen MF. Intraabdominal pressure monitoring as a guideline in the nonoperative management of blunt hepatic trauma [Ｊ]. J Trauma， 2001; 51(1)∶44.
  10. 10. Ertel W, Oberholzer A, Platz A, et al. Incidence and clinical pattern of the abdominal compartment syndrome after “damagecontrol” laparotomy in 311 patients with severe abdominal and/or pelvic trauma [Ｊ]. Crit Care Med, 2000; 28(6)∶1747.