床旁超声监测胃残余量在指导危重症患者肠内营养治疗中的研究进展  

Research progress of bedside ultrasound monitoring gastric residue volume in guiding enteral nutrition therapy critically ill patients

作　　者：吴琪 朱保锋(审校)[1] 陈建荣[1] WU Qi;ZHU Baofeng;CHEN Jianrong(Department of Emergency,Nantong First People's Hospital,Second Affiliated Hospital of Nantong University,Nantong,Jiangsu,226000,China)

机构地区：[1]江苏省南通市第一人民医院(南通大学第二附属医院)急诊医学科,江苏南通226000

出　　处：《临床急诊杂志》2023年第1期46-50,共5页Journal of Clinical Emergency

基　　金：江苏省南通市科技局社会民生科技公众健康重点项目(No:MS22020010)。

摘　　要：肠内营养是危重症患者营养治疗的首选方式,保证营养治疗的有效性和安全性是临床关注的焦点。临床超声通过定性定量评估胃残余量,用于指导优化肠内营养治疗方案,能够增强危重症患者肠内营养治疗喂养耐受性,改善胃肠功能及营养状况,预防吸入性肺炎发生风险。本研究从危重症患者肠内营养干预、胃残余量阈值及监测方法、床旁超声监测胃残余量的方法及应用等方面进行综述研究,旨在为提高危重症患者肠内营养治疗有效性及安全性提供参考。Enteral nutrition is the first choice of nutritional therapy for critically ill patients. Ensuring the effectiveness and safety of nutritional therapy is the focus of clinical attention. Clinical ultrasound is used to guide and optimize the enteral nutrition treatment plan through qualitative and quantitative assessment of gastric residue, which can enhance the feeding tolerance of critical patients with enteral nutrition treatment, improve gastrointestinal function and nutritional status, and prevent the risk of inhalation pneumonia. This study reviewed the research from the aspects of enteral nutrition intervention, gastric residual volume threshold and monitoring method, bedside ultrasound monitoring method and applications of gastric residual volume in critically ill patients, in order to provide reference for improving the effectiveness and safety of enteral nutrition treatment in critically ill patients.

关 键 词：危重症 肠内营养 床旁超声 胃残余量 喂养不耐受 

分 类 号：R459.7[医药卫生—急诊医学]