So sánh sự khác biệt số đo áp lực ổ bụng gián tiếp qua bàng quang ở bệnh nhân viêm tụy cấp bằng phương pháp đo sử dụng cột nước và phương pháp đo bằng monitor

Abstract

Objective: Comparison of indirect bowel pressure measurements in patients with acute pancreatitis using a water column measurement and monitor method. Subject and method: A prospective, descriptive, cross-sectional study of 21 acute pancreatitis patients treated at the Intensive Care Unit, 108 Military Central Hospital from November 2016 to April 2018 and had indication for indirect measurement of abdominal pressure through the bladder by two methods. Result: The incidence of abdominal pressure increase was 76.2%. The rate of I and II degrees accounted for the highest rate of 62.1%. Degree III and IV accounted for 9.4% and 4.7% respectively. The high abdominal pressure group had higher incidence of organ failures (central nervous system 12.5%, renal failure 75%; cardiovascular failure 62.5%, respiratory distress 68.7%). The suitability of the two methods of intra-abdominal indirect pressure measurement through bladder by hand and by monitor with a Kappa coefficient of 0.85. Conclusion: There is high compatibility between the two methods. Measurement of indirect intra-abdominal pressure through bladder in patients with acute pancreatitis is necessary, and should be routinely applied.