床旁超声评估胃内容物在急诊患者围手术期中的应用研究  

Application of bedside ultrasound in evaluating gastric contents in emergency patients during perioperative period

作　　者：陈琴[1] 张运淳[1] CHEN Qin;ZHANG Yunchun(Department of Anesthesiology,the First Affiliated Hospital of Bengbu Medical College,Bengbu,Anhui 233004,China)

机构地区：[1]蚌埠医学院第一附属医院麻醉科,安徽蚌埠233004

出　　处：《现代医药卫生》2022年第16期2740-2742,共3页Journal of Modern Medicine & Health

基　　金：蚌埠医学院第一附属医院一般新技术项目(2020055)。

摘　　要：目的探讨床旁超声评估胃内容物在急诊患者围手术期中的应用效果。方法选取2020年1月至2021年2月该院急诊颅脑损伤手术患者60例,研究过程中8例未获得胃窦部超声图像,最终纳入52例。根据胃窦横截面积(CSA)将患者分为A组(28例)和B组(24例)。比较2组CSA及反流误吸发生率,分析胃排空影响因素。结果2组CSA及反流误吸发生率比较,差异有统计学意义(P<0.05)。糖尿病是急诊手术患者胃排空的影响因素(P<0.05)。结论床旁超声技术可为急诊手术患者胃排空状况提供更为客观且准确的评价,且CSA≥340 mm^(2)时,胃内容物反流误吸发生率会增加。Objective To explore the effect of bedside ultrasound in evaluating gastric contents in emer-gency patients during perioperative period.Methods From January 2020 to February 2021,a total of 60 pa-tients with emergency craniocerebral injury surgery in the hospital were selected.During the study,8 patients did not obtain ultrasonic images of gastric antrum,and 52 patients were finally included.The patients were di-vided into group A(28 cases)and group B(24 cases)according to the cross-sectional area(CSA)of gastric an-trum.The incidences of CSA and reflux aspiration were compared between the two groups,and the influencing factors of gastric emptying were analyzed.Results There were significant differences in the incidence of CSA and reflux aspiration between the two groups(P<0.05).Diabetes was an influencing factor of gastric empty-ing in emergency operation patients(P<0.05).Conclusion Bedside ultrasound can provide a more objective and accurate evaluation of gastric emptying in emergency surgery patients.When CSA≥340 mm^(2),the inci-dence of reflux aspiration of gastric contents will increase.

关 键 词：胃超声 急诊手术 反流误吸 颅脑损伤 胃窦横截面积 

分 类 号：R614[医药卫生—麻醉学]