腹内压联合胃残余量监测在ICU患者护理中的应用

发布时间：2018-06-24 09:53

本文选题：腹内压监测 + 胃残余量监测　；参考：《解放军医院管理杂志》2016年12期

【摘要】：目的探讨腹内压(Intra-abdominal pressure,IAP)联合胃残余量监测在重症监护病房(intensive care unit,ICU)患者早期肠内营养耐受性观察中的作用。方法分析2013年186例入住ICU并且实施肠内营养的危重患者,随机分成试验组和对照组各93例。分别采用腹内压联合胃残余量监测方案和常规护理措施。比较两组腹胀、呕吐、腹泻的发生率和目标喂养量的达标率。结果试验组腹胀的发生率为26.88%,对照组腹胀的发生率为55.91%(P0.01),差异有显著统计学意义;试验组呕吐的发生率为9.68%,对照组呕吐的发生率为21.50%(P0.05),差异有统计学意义;试验组腹泻的发生率为8.60%,对照组腹泻的发生率为10.75%(P0.05),差异无统计学意义;两组患者均达到目标喂养量,试验组目标喂养量达标率为88.17%,对照组目标喂养量达标率为86.02%,差异无统计学意义。结论腹内压联合胃残余量监测方案可以有效降低ICU患者早期肠内营养腹胀、呕吐的发生率,使其早日达到目标喂养量,对于提高患者早期肠内营养耐受性有重要意义。
[Abstract]:Objective to investigate the role of intraabdominal pressure (IAP) combined with gastric residual monitoring in early enteral nutrition tolerance in (intensive care unit ICU. Methods 186 critically ill patients admitted to ICU and treated with enteral nutrition in 2013 were randomly divided into trial group and control group. Intraabdominal pressure combined with gastric residual volume monitoring and routine nursing measures were used. The incidence of abdominal distension, vomiting, diarrhea and the target feeding rate were compared between the two groups. Results the incidence of abdominal distension was 26.88 in the test group and 55.91% in the control group (P0.01), and the incidence of vomiting was 9.68 in the test group and 21.50 percent in the control group (P0.05). The incidence of diarrhea was 8.60% in the trial group and 10.75% in the control group (P0.05). The target feeding rate was 88.17 in the test group and 86.02 in the control group. The difference was not statistically significant. Conclusion Intraabdominal pressure combined with gastric remnant monitoring can effectively reduce the incidence of early enteral distension and vomiting in ICU patients, and make it reach the target feeding quantity as soon as possible. It is of great significance to improve the early enteral nutrition tolerance of ICU patients.
【作者单位】：第二军医大学长征医院急救科;
【分类号】：R472.2

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