Normal intraabdominal pressure in healthy adults
Normal intraabdominal pressure in healthy adults
复制标题
DOI：
10.1016/j.jss.2005.06.015
复制
发表时间：
2005-12-01
影响因子：
2.2
通讯作者：
Heniford, BT
中科院分区：
文献类型：
--
作者：
Cobb, WS;Burns, JM;Heniford, BT
背景资料。腹内。压力(LAP)被认为是创伤和其他腹部灾难以及疝气形成和复发的不良影响的原因。到目前为止，关于正常人LAP的信息还很少。我们在这项研究中的目的是测量健康、非肥胖成年人的LAP正常范围，并将这些测量与性别和体重指数(BMI)相关联。经过机构审查委员会的批准，纳入了20名健康的年轻成年人(年龄0530岁)，以前没有腹部外科病史。压力读数通过经尿路膀胱(Foley)导管获得。每个受试者都完成了13项不同的任务，包括站立、坐着、腰部弯曲、膝盖弯曲、腹部仰卧起坐、跳跃、爬楼梯、板凳推举25磅、手臂卷曲10磅，以及在坐着和站着的时候表演Valsalva和咳嗽。数据分析采用学生t检验和皮尔逊相关系数结果。测量了10名男性和10名女性受试者的腹内压。研究组年龄18~30岁，平均22.7岁，体重指数18.4~31.9 kg/m(2)，平均24.6 kg/m(2)。坐着和站着的平均圈数分别为16.7和20 mm Hg。咳嗽和跳跃产生的IAP最高(分别为107.6和171毫米汞柱)。举起10磅的重量和膝盖弯曲没有产生过高的压力，最大平均压力为25.5毫米汞。在每次动作中比较男性和女性时，平均压力没有差异。在13项运动中，有5项运动的BMI增加与IAP增加显著相关。正常的LXP与BMI相关，但不因性别而异。健康患者的腹内压最高的时候是咳嗽和跳跃。根据我们的观察，体重指数较高和慢性咳嗽的患者似乎会显著升高我的体重指数。因此，这组患者手术后腹壁疝气形成的风险可能会增加。(C)2005 Elsevier Inc.保留所有紧身衣。
Background. Intraabdominal. pressure (LAP) has been considered responsible for adverse effects in trauma and other abdominal catastrophes as well as in formation and recurrence of hernias. To date, little information is available concerning LAP in normal persons. Our purpose in this study was to measure the normal range of LAP in healthy, nonobese adults and correlate these measurements with sex and body mass index (BMI).Methods. After Institutional Review Board approval, 20 healthy young adults 0530 years old) with no prior history of abdominal surgery were enrolled. Pressure readings were obtained through a transurethral bladder (Foley) catheter. Each subject performed 13 different tasks including standing, sitting, bending at the waist, bending at the knees, performing abdominal crunches, jumping, climbing stairs, bench-pressing 25 pounds, arm curling 10 pounds, and performing a Valsalva and coughing while sitting and also while standing. Data were analyzed by Student's t-test and Pearson's correlation coefficientsResults. Intraabdominal pressure was measured in 10 male and 10 female subjects. The mean age of the study group was 22.7 years (range, 18-30 years), and BMI averaged 24.6 kg/m(2) (range, 18.4-31.9 kg/m(2)). Mean LAP for sitting and standing were 16.7 and 20 mm Hg. Coughing and jumping generated the highest IAP (107.6 and 171 mm Hg, respectively). Lifting 10-pound weights and bending at the knees did not generate excessive levels of pressure with the maximum average of 25.5 mm Hg. The mean pressures were not different when comparing males and females during each maneuver. There was a significant correlation between higher BMI and increased IAP in 5 of 13 exercises.Conclusion. Normal LXP correlates with BMI but does not vary based on sex. The highest intraabdominal pressures in healthy patients are generated during coughing and jumping. Based on our observations, patients with higher BMI and chronic cough appear to generate significant elevation in MY. Thus, this group of patients may potentially be at increased risk for abdominal wall hernia formation following surgery. (c) 2005 Elsevier Inc. All tights reserved.