超声监测胃残余量对肠内营养实施的指导和评估新进展  

Research advances of monitoring gastric residual volume with ultrasound for evaluation of efficiency of enteral nutrition

作　　者：赵浩天[1] 龙玲[2] 任珊[2] 赵鹤龄[2] ZHAO Hao-tian;LONG Ling;REN Shan;ZHAO He-ling(Department of Critical Care Medicine,Hebei General Hospital,Shijiazhuang 050000,Hebei,China;Department of Ultrasound,Hebei General Hospital,Shijiazhuang 050000,Hebei,China)

机构地区：[1]河北省人民医院超声科,河北石家庄050000 [2]河北省人民医院重症医学科,河北石家庄050000

出　　处：《肠外与肠内营养》2020年第1期56-60,共5页Parenteral & Enteral Nutrition

基　　金：河北省中医药管理局科研计划项目(2018079)

摘　　要：胃肠功能衰竭是急危重症病人常见的合并症,常表现为胃潴留和肠内营养不耐受,既往对危重病人营养负平衡的忽视和对胃肠功能评价方法的欠缺,极大程度影响病情发展和预后。急重症超声将急救医学理念和超声技术完美结合,逐渐成为监护病房床旁常规设备。近期研究发现超声监测胃残余量(GRV)可较好的评估胃潴留和胃肠动力学状况,其精准性不亚于"金标准"CT且较后者更方便应用于床旁,成为近年来一大热点。本文就床旁超声对胃肠功能的定性和定量监测方法和价值进行综述。Gastrointestinal failure, often manifested by gastric retention and intolerance of enteral nutrition, is a common complication in critically ill patients. In the past, the neglect of negative balance of nutrition and the lack of evaluation methods of gastrointestinal function greatly affected the prognosis of critically ill patients. Critical ultrasound combined the knowledge of emergency medicine and the technology of ultrasound perfectly, and gradually became the bedside routine equipment in ICU. Recently, assessment of gastrointestinal dynamics by monitoring of gastric residue volume(GRV) with ultrasound have been developed. Its accuracy is no less than the "gold standard" CT, and more convenient for bedside. This review focused on the methods and value of bedside ultrasound in qualitative and quantitative monitoring of gastrointestinal function in the ICU.

关 键 词：胃肠功能障碍 胃残余量 重症超声 肠内营养 

分 类 号：R459.7[医药卫生—急诊医学]