B超定位下的精准化肠道清洁护理管理对ICU危重症患者肠屏障功能的影响  

Effect of Precise Intestinal Cleansing Nursing Management Under B-Ultrasound Localization on Intestinal Barrier Function of Critically III ICU Patients

作　　者：杜蕾 高欣 孙翠翠 Du Lei;Gao Xin;Sun Cuicui(Department of Critical Care Medicine,Qingdao Chengyang District People's Hospital,Qingdao 266109,Shandong Province,China)

机构地区：[1]青岛市城阳区人民医院重症医学科,山东青岛266109

出　　处：《中外医药研究》2023年第34期141-143,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:探讨B超定位下的精准化肠道清洁护理管理对重症监护室(ICU)危重症患者肠屏障功能的影响。方法:选取2021年3月—2023年3月城阳区人民医院ICU收治的危重症患者84例作为研究对象,应用奇偶分组法分为两组,各42例。参照组给予常规肠道管理,试验组给予B超定位下的精准化肠道清洁护理管理。比较两组患者多器官功能障碍综合征(MODS)发生率、ICU停留时间、不同时间点肠屏障功能。结果:两组MODS发生率比较,差异无统计学意义(P>0.05);试验组ICU停留时间短于参照组,差异有统计学意义(P<0.05);入院第1天,两组二胺氧化酶、D-乳酸、内毒素水平比较,差异无统计学意义(P>0.05);入院第4、7天,试验组二胺氧化酶、D-乳酸水平均低于参照组,差异有统计学意义(P<0.001)。结论:B超定位下的精准化肠道清洁护理管理有利于加快ICU危重症患者肠屏障功能改善的速度,缩短ICU停留时间。Objective:To investigate the effect of precise intestinal cleansing nursing management under B-ultrasound localization on the intestinal barrier function of critically ill patients in intensive care unit(ICU).Methods:A total of 84 critically ill patients admitted to the ICU of Chengyang District People's Hospital from March 2021 to March 2023 were selected as the study subjects,and they were divided into two groups with 42 cases in each group by odd-even grouping.The reference group was given routine intestinal management,and the experimental group was given precise intestinal cleansing nursing management under B-ultrasound localization.The incidence of multiple organ dysfunction syndrome(MODS),ICU stay time,and intestinal barrier function at different time points were compared between the two groups.Results:There was no significant difference in the incidence of MODS between the two groups(P>0.05);the ICU stay time in the experimental group was shorter than that in the reference group,and the difference was statistically significant(P<0.05);the levels of diamine oxidase,D-lactate and endotoxin in the two groups showed no statistically significant difference on the first day of admission(P>0.05);the levels of diamine oxidase and D-lactate in the experimental group were lower than those in the reference group on the fourth and seventh days of admission(P<0.001).Conclusion:Precise intestinal cleansing nursing management under B-ultrasound localization is beneficial to accelerating the improvement of intestinal barrier function and shorten the ICU stay time in critically ill patients in ICU.

关 键 词：B超定位 精准化肠道清洁护理管理 ICU危重症 肠屏障功能 

分 类 号：R47[医药卫生—护理学]