危重患者持续肠内营养治疗期间胃残余量变化趋势研究  

Variation trend of gastric residual volume during continuous enteral nutrition in critical patients

作　　者：赵庆华[1] 皮红英[2] 周颖[1] Zhao Qinghua;Pi Hongyirrg;Zhou Ying(Department of Hepatobiliary Surgery,Chinese People＇s Liberation Army General Hospital,Beijing 100853,China（Zhao QH,Zhou Y;Nursing Department,Chinese People＇s Liberation Army General Hospital,Beijing 100853,China（Pi HY)

机构地区：[1]解放军总医院肝胆外科,北京100853 [2]解放军总医院护理部,北京100853

出　　处：《中华现代护理杂志》2018年第22期2629-2632,共4页Chinese Journal of Modern Nursing

摘　　要：目的 通过超声监测探索持续肠内营养治疗期间危重患者胃残余量变化趋势,为规范胃残余量监测提供依据.方法 2015年11月—2016年1月对收治于某三甲医院3个ICU行持续肠内营养治疗的85例危重患者,采用超声技术动态监测持续肠内营养期间不同喂养时间点（0、4、8、12、16、24 h）的胃残余量,探究其变化趋势.结果 持续肠内营养患者胃残余量随着喂养时间延长而逐渐增加,在喂养12 h达高峰;此后,呈下降趋势;机械通气与非机械通气患者在喂养4、8、12、16 h的胃残余量差异无统计学意义（P值分别为0.055、0.169、0.193、0.154）.结论 每日喂养第12小时是持续肠内营养患者胃残余量监测的重要时点.Objective To explore the variatiantrend of gastric residual volume （GRV） during continuous enteral nutrition （EN） in critical patients by ultrasonic monitoring so as to provide a basis for standardizing GRV monitoring. Methods From November 2015 to January 2016, we selected 85 critical patients with continuous EN from three ICU in a Class III Grade A hospital. The GRV was dynamically monitored by ultrasonic during continuous EN at different time points （0, 4, 8, 12, 16, 24 h） of feeding so as to explore its variation trend. Results The GRV of patients with continuous EN increased with the extension of feeding time. The GRV reached the peak at twelfth hour and showed a downtrend after that. There were no significant differences in GRVs at 4, 8, 12, 16 h between patients with and without mechanical ventilation （P=0.055, 0.169, 0.193, 0.154）. Conclusions The twelfth hour of feeding by daily was the important time point for GRV monitoring in patients with continuous EN.

关 键 词：重症监护 危重患者 肠内营养 胃残余量 

分 类 号：R473[医药卫生—护理学]