腹股沟斜疝患者腹内压力研究.docVIP

腹股沟斜疝患者腹内压力研究 　　【中图分类号】 R65 【文献标识码】A【文章编号】1672－3783(2011)04－0223－01 　　 　　【摘要】 目的 ：观察腹股沟斜疝患者和非腹股沟斜疝患者在静息状态和做腹内加压动作下不同仰卧角度时的腹腔内压力（intra－abdominal pressure，IAP）及其变化特点，并探讨其在探索腹股沟斜疝临床病因中的意义。 方法 对2009年12月至2010年5月在我院诊断为腹股沟斜疝的患者51例及50例非腹股沟斜疝的患者，均为男性，分为实验（斜疝）组和对照（非斜疝）组，采用膀胱测压法，分别测实验组和对照组中各患者在静息状态和做腹内加压动作下不同仰卧角度（0°、15°、30°、45°、60°、75°及站立）时的腹腔内压力，并运用统计学方法分别进行组间和组内比较分析。结果 在静息状态和腹内加压两种情况下，实验组和对照组患者的腹内压的值随着仰卧角度增大均升高，各个角度间腹内压的平均值比较均有明显统计学差异（P 0.05）；实验组中腹内加压前后的腹内压差平均值也随着仰卧角度的增大而升高， 并且与正常对照组相比，腹内压升高得更加明显。结论 斜疝患者的腹内压力随着仰卧角度的增加较非斜疝患者更易升高，是临床腹股沟斜疝的形成的原因之一。 　　【关键词】 腹股沟斜疝； 腹内压力； 体位； 　　 　　【Abstract】 Objective To investigate intra-abdominal pressure (IAP) and its changing characteristics in patients with indirect inguinal hernia at different supine angles under different conditions (static or pressure ), and to explore the clinical significance in indirect inguinal hernia of IAP. Methods From December 2009 to May 2010, there were 51 patients with indirect inguinal hernia and 50 patients with hospitalization for other diseases ,all the patients were male . All they were divided into the experimental (oblique hernia) group and control group respectively. We apply intravesical pressure measurement to measure intraperitoneal pressure at different supine angles (0°, 15°, 30°, 45°, 60°, 75° and vertical), and use statistical method to analyze the results . Results Under the static and pressure conditions in experimental group and control group, with the increasing of supine angles, IAP was rising. the average among the angles had significantly statistical difference (P 0.05); moreover, in the experimental group the average of intra-abdominal pressure difference of pre and post pressurization was increased with supine angles, compared with the control group, increasing 　　amplitude was more obvious. Conclusion IAP in patients with indirect inguinal hernia is easier to increase than normal human with the the increasing of supine angles, which is one of the factors that cause indirect inguin