床旁超声引导下营养支持对重症肺炎患者胃肠功能的改善作用  

The effect of bedside ultrasound-guided nutritional support on gastrointestinal function in patients with severe pneumonia

作　　者：李炜明[1] LI Wei-ming(Panyu District Hospital of Traditional Chinese Medicine,Guangzhou 511400,China)

机构地区：[1]广州市番禺区中医院,511400

出　　处：《中国实用医药》2020年第27期22-24,共3页China Practical Medicine

摘　　要：目的系统探究床旁超声引导下营养支持对重症肺炎患者胃肠功能的改善作用,以期为重症肺炎患者的营养支持提供理论指导。方法 38例需长期行鼻饲营养支持的重症肺炎患者,遵循随机抽样原则分为治疗组和对照组,每组19例。对照组采用常规盲插的方式置入鼻肠管,治疗组借助床旁超声引导的方式置入鼻肠管。比较两组患者置管时间、一次置管成功率、不良反应发生率、胃肠食物潴留量、血清前白蛋白以及血清铁蛋白水平。结果治疗组患者置管时间(40.0±4.2)min短于对照组的(47.4±8.8)min,一次置管成功率100.0%高于对照组的78.9%,不良反应发生率5.3%低于对照组的31.6%,胃肠食物潴留量(27.2±13.8)ml少于对照组的(73.2±31.8)ml,差异具有统计学意义(P<0.05)。治疗组患者血清前白蛋白、血清铁蛋白水平分别为(0.26±0.05)、(2.44±0.46)g/L,高于对照组的(0.12±0.02)、(1.92±0.12)g/L,差异具有统计学意义(P<0.05)。结论床旁超声引导下营养支持能有效提高一次置管成功率,降低不良反应发生率,且对重症肺炎患者胃肠功能的改善具有较大的促进作用,值得在临床大面积推广。Objective To investigate the effect of bedside ultrasound-guided nutritional support on gastrointestinal function in patients with severe pneumonia,in order to provide theoretical guidance for nutritional support of patients with severe pneumonia.Methods A total of 38 patients with severe pneumonia requiring long-term nasal feeding nutrition were divided into treatment group and control group according to the principle of random sampling,with 19 cases in each group.The control group used conventional blind insertion to insert the naso-intestinal tube,and the treatment group used bedside ultrasound guidance to insert the naso-intestinal tube.The catheterization time,success rate of one-time catheterization,incidence of adverse reactions,gastrointestinal food retention,serum prealbumin and serum ferritin levels were compared between the two groups of patients.Results The catheterization time(40.0±4.2)min of the treatment group was shorter than that of the control group(47.4±8.8)min,success rate of one-time catheterization 100.0%was higher than that of the control group 78.9%,incidence of adverse reactions 5.3%was lower than that of the control group 31.6%,and gastrointestinal food retention(27.2±13.8)ml was less than that of the control group(73.2±31.8)ml,and the difference was statistically significant(P<0.05).The serum prealbumin and serum ferritin of the treatment group were(0.26±0.05)and(2.44±0.46)g/L respectively,which were higher than those of the control group(0.12±0.02)and(1.92±0.12)g/L,and the difference was statistically significant(P<0.05).Conclusion Bedside ultrasound-guided nutritional support can effectively increase the success rate of one-time catheterization,reduce the incidence of adverse reactions,and promote improvement of gastrointestinal function in patients with severe pneumonia.It is worthy of clinical promotion.

关 键 词：床旁超声引导 重症肺炎 胃肠功能改善 一次置管成功率 不良反应 

分 类 号：R563.1[医药卫生—呼吸系统]