危重病患者基础疾病与腹腔间室综合征的相关性研究

目的探讨危重病患者基础疾病与腹腔间室综合征（ACS）发生的相关性,提高对ACS的防范意识。方法采用病例对照研究设计方法,按病例组与对照组1∶2配比比例进行回顾性调查。采用非条件Logistic回归分析法进行多因素分析。结果 ACS病例组平均基础疾病系统数为3.5±1.1,高于对照组的2.7±1.0（〈0.01）;平均疾病数为5.4±1.3,高于对照组的4.2±1.4（〈0.01）。伴有呼吸系统疾病、胃肠道疾病和全身感染的比例,ACS病例组高于对照组（〈0.01）。结论危重患者原有的基础疾病与ACS的发生密切相关,应积极治疗基础疾病,重点监测高风险患者腹内压,防范ACS的发生。

Correlative study on basal illness of severe eases and abdominal compartment syndrome

Objective To explore the correlation of basal illness of severe cases and abdominal compartment syndrome（ACS）, and improve the consciousness of keeping ACS away. Methods A retrospective case-control study was designed and case-group matching with control-group was 1∶2. Multi-factors non-conditional logistic regressive analysis was used to analyze the dangerous basal-disease factors of ACS. Results The mean number of basal-disease category in case-group was 3.5±1.1, higher than that of control-group （2.7±1.0, 0.01）. The mean number of diseases in case-group was 5.4±1.3, higher than that of control-group （4.2±1.4, 0.01）. The proportion of respiratory disease, gastro-intestinal disease and systemic infection in case-group were higher than those of control-group（0.01）. The risk factor of ACS was respiratory disease （=2.655）, gastro-intestinal disease （=2.307） and infection （=2.004）. Conclusion The data suggested that the basal disease should be cured actively, and watching and measuring intra-abdominal pressure should be monitored in order to keep ACS away.