超声胃窦运动指数在俯卧位机械通气患者肠内营养中的应用  

The monitoring movement index by ultrasound guided the implementation of enteral nutrition in patients with prone mechanical ventilation

作　　者：孙杨[1] 曹岚[2] Sun Yang;Cao Lan(Department of Critical Care Medicine,Xiangya Hospital of Central South University,National Center for Clinical Research and Medicine of Geriatric Diseases,Chinese Critical Ultrasound Study Group,Changsha 410008,China;Department of Nursing,Xiangya Hospital of Central South University,National Center for Clinical Research and Medicine of Geriatric Diseases,Chinese Critical Ultrasound Study Group,Changsha 410008,China)

机构地区：[1]中南大学湘雅医院重症医学科,国家老年疾病医学研究中心,中国重症超声研究组,长沙410008 [2]中南大学湘雅医院护理部,国家老年疾病医学研究中心,中国重症超声研究组,长沙410008

出　　处：《中国实用护理杂志》2020年第19期1482-1485,共4页Chinese Journal of Practical Nursing

摘　　要：目的评价床旁超声胃窦横切面法监测胃窦运动指数在俯卧位机械通气患者中肠内营养实施的应用效果。方法2018年6月至2019年6月中南大学湘雅医院重症医学科收治急性呼吸窘迫综合征行俯卧位机械通气患者78例,按照随机数字表法分为观察组和对照组各39例,观察组根据超声监测胃窦运动指数指导肠内营养的实施,对照组按照医嘱执行肠内营养计划。比较2组患者喂养中断、反流、误吸的发生率、达到全量营养的时间、机械通气时间和ICU住院时间。结果观察组达到全量营养的时间为(2.8±0.8)d,低于对照组的(4.1±1.1)d,差异有统计学意义(t值为-5.596,P<0.01)。2组患者在喂养中断、反流、误吸的发生率、机械通气时间和ICU住院时间方面比较差异无统计学意义(P>0.05)。结论超声监测胃窦运动指数可以指导俯卧位机械通气患者的肠内营养实施,缩短了达到全量营养的时间。Objective To evaluate the effect of monitoring movement index transverse section by bedside ultrasound in patients who undergoing mechanical ventilation in prone position.Methods From June 2018 to June 2019,78 patients with acute respiratory distress syndrome undergoing mechanical ventilation in prone position in ICU of Xiangya Hospital of Central South University were divided into observation group and control group according to random number table method with 39 cases each.The observation group was guided by movement index monitored by ultrasound to implement enteral nutrition,while the control group was guided by enteral nutrition plan according to doctor′s advice.The incidence of feeding interruption,reflux,aspiration,time to complete enteral nutrition,mechanical ventilation time and ICU length of stay were compared between the two groups.Results The time of reaching full nutrition was(2.8±0.8)d in the observation group,and(4.1±1.1)d in the control group,there was significant difference between the two groups(t value was-5.596,P<0.01).There was no significant difference in the incidence of feeding interruption,reflux,aspiration,mechanical ventilation time and ICU length of stay between the two groups(P>0.05).Conclusions The monitoring movement index transverse section by ultrasound can guide the implementation of enteral nutrition in patients with prone mechanical ventilation,and shorten the time to complete enteral nutrition.

关 键 词：超声 胃肠动力 俯卧位 肠内营养 危重病 

分 类 号：R459.3[医药卫生—治疗学]