Intraabdominal pressure changes associated with lifting: implications for postoperative activity restrictions
Intraabdominal pressure changes associated with lifting: implications for postoperative activity restrictions
复制标题
DOI：
10.1016/j.ajog.2007.09.004
复制
发表时间：
2008-03-01
影响因子：
9.8
通讯作者：
Hibner, Michael
中科院分区：
文献类型：
--
作者：
Gerten, Kimberly A.;Richter, Holly E.;Hibner, Michael
目的：本研究的目的是描述的提升动作和量的重量解除对产生的intraabdominal pressure.STUDY DESIGN：41名妇女进行了尿动力学评价进行了4个提升动作，同时提升0，2.5，5，10，和15公斤。举重动作是常规活动，包括有辅助和无辅助下蹲，从柜台上举起，并接受重量。用直肠微尖导管记录压力。每次托举进行两次，并分析平均压力变化。结果：当控制潜在混杂变量时，重复测量方差分析显示托举重量和托举动作之间存在显着的相互作用（P = .001）。与从计数器上抬起或将重物放在伸展的手臂上相比，下蹲与产生更高的腹内压相关（P = 0.001）。无论采用何种举升动作，举升≥ 2.5kg时腹内压均发生显著变化（P <0.001）。结论：在指导患者术后举升时，应同时考虑举升动作和负重量。
OBJECTIVE: The purpose of this study was to describe the effect of the lifting maneuver and the quantity of weight lifted on the generation of intraabdominal pressure.STUDY DESIGN: Forty-one women who underwent urodynamic evaluation performed 4 lifting maneuvers, each while lifting 0, 2.5, 5, 10, and 15 kg. The lifting maneuvers were routine activities that included squatting with and without assistance, lifting from a counter, and receiving weight. Pressure was recorded with a rectal microtip catheter. Each lift was performed twice, and the average pressure change was analyzed.RESULTS: When controlled for potential confounding variables, repeated-measures analysis of variance revealed a significant interaction between lift weight and lift maneuver (P = .001). Squatting was associated with generation of higher intraabdominal pressure than lifting from a counter or receiving weights into outstretched arms (P = .001). Lifting >= 2.5 kg resulted in significant changes in intraabdominal pressure, regardless of lift maneuver ( P < .001).CONCLUSION: Both the lifting maneuver and the quantity of weight should be considered when counseling patients regarding postoperative lifting.