Clinical Study of Influent Factors on Normal Intraabdominal Pressure_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

YANG Xinping ¹ , HUANG Weimin ² , ZHU Shanglin ² , JIANG Hongchi. ³

Department of Surgery，Huangpu District Tumor Hospital，Shanghai 200126，China;

Corresponding author：

Keywords：

Intraabdominal pressure Abdominal compartment syndrome Diagnostic techniques and procedures

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【Abstract】Objective To investigate the influent factors on normal intraabdominal pressure （IAP） and establish the IAP regressive equation.
Methods The IAPs of 106 hospitalized patients were determined through monitoring the bladder pressures. The relationship between IAP and 14 factors including age, gender, height, weight, body mass index （BMI）, previous and recent abdominal surgical history, reasons for admission，complications and their quantities were analyzed，respectively.
Results The mean IAP of the hospitalized patients was 5.5 mm Hg with a range from 0.4 mm Hg to 12.8 mm Hg. The difference among IAPs of different grades of BMIs had statistical significance （F=5.550，P＜0.01）. The male IAPs were 2.0 mm Hg higher than the female IAPs，which had statistical significance （t=3.122，P＜0.01）. The other 12 factors had no significant effects on IAP （P gt;0.05）.
Conclusion Normal IAP is possibly influenced by gender and BMI，and it is individually different.

Citation： YANG Xinping,HUANG Weimin,ZHU Shanglin,JIANG Hongchi.. Clinical Study of Influent Factors on Normal Intraabdominal Pressure. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2004, 11(5): 444-446. doi: Copy

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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. 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. 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. 杨新平，姜洪池. 腹腔内高压与腹腔间室综合征 [Ｊ]. 中国普外基础与临床杂志， 2002； 9（6）∶381.
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. 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.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Clinical Study of Influent Factors on Normal Intraabdominal Pressure

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