ICU 肠内营养患者胃残余量监测研究进展

Progress in monitoring gastric residual volume in patients with enteral nutrition in ICU

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DOI 10.12208/j.jmnm.20230004
刊名
Journal of Modern Nursing MedicineJPCNS
年,卷(期) 2023, 2(1)
作者
作者单位

南京医科大学附属明基医院 江苏南京 ;

摘要
近年来,危重患者的营养支持已成为临床医生关注的焦点,并以肠内营养(EN)为主,不过,患者往 往受到呕吐、误吸、甚至因肠内营养不耐受引起的吸入性肺炎等并发症的影响导致病情加重。临床对肠内营养耐 受性以及监测胃排空率均采用胃残余量监测,对重症者的营养速度及营养量针对性指导。鉴于胃残余量监测方法 公认性及标准性,加上影响监测的因素较多,所以监测结果的准确性存在争议性。然而,胃残余量监测对降低 EN 并发症发生的有效性,临床还需要进一步实践研究。本文就危重肠内营养患者胃残余量监测进行综述。
Abstract
In recent years, nutrition support for critically ill patients has become the focus of clinicians, and enteral nutrition (EN) is the main focus, however, patients are often affected by vomiting, aspiration, and even aspiration pneumonia due to enteral nutrition intolerance and other complications, resulting in aggravated disease. Gastric residual volume monitoring was used to monitor enteral nutrition tolerance and gastric empting rate, and targeted guidance was given to the nutritional speed and amount of severe patients. In view of the recognition and standard of gastric residual volume monitoring methods and the many factors affecting monitoring, the accuracy of monitoring results is controversial. However, the effectiveness of gastric residual volume monitoring in reducing the occurrence of EN complications needs further clinical practice. This paper reviews the monitoring of gastric residual volume in patients with critical enteral nutrition.
关键词
ICU;肠内营养;胃残余量监测
KeyWord
ICU; Enteral nutrition; Gastric residual volume monitoring
基金项目
页码 10-12
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戴桂平,盛雪萌,代森,熊兴林*. ICU 肠内营养患者胃残余量监测研究进展 [J]. 现代护理医学杂志. 2023; 2; (1). 10 - 12.

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