[1]王慧君,叶向红,顾璐璐.重症病人肠内营养误吸监测方法的研究进展[J].肠外与肠内营养杂志,2020,(02):117-120.[doi:10.16151/j.1007-810x.2020.02.012]
 WANG Hui-jun,YE Xiang-hong,GU Lu-lu.Advances in the detection of enteral nutrition aspiration in critical patients[J].PARENTERAL & ENTERAL NUTRITION,2020,(02):117-120.[doi:10.16151/j.1007-810x.2020.02.012]
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重症病人肠内营养误吸监测方法的研究进展
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《肠外与肠内营养》杂志[ISSN:1007-810X/CN:32-1477/R]

卷:
期数:
2020年02期
页码:
117-120
栏目:
综述
出版日期:
2020-03-10

文章信息/Info

Title:
Advances in the detection of enteral nutrition aspiration in critical patients
作者:
王慧君1叶向红 2顾璐璐 2
1.蚌埠医学院,安徽蚌埠233000;2.东部战区总医院普通外科研究所,江苏南京210002
Author(s):
WANG Hui-jun1 YE Xiang-hong2 GU Lu-lu2
1. Bengbu Medical College, Bengbu 233000, Anhui, China;2. Research Institute of General Surgery, General Hospital of Eastern Theater Command/Nanjing General Hospital, Nanjing 210002, Jiangsu, China
关键词:
重症病人 肠内营养 误吸 症状 研究进展
Keywords:
Critically ill patients Enteral nutrition Aspiration Early-warning mechanism Progress
分类号:
R459.3 R473.6
DOI:
10.16151/j.1007-810x.2020.02.012
文献标志码:
A
摘要:
实施肠内营养的重症病人因吞咽功能、体位、喂养途径等原因易发生误吸,由此造成的的吸入性肺炎、 呼吸窘迫综合征、窒息等并发症使病人死亡率增加,目前国内外研究更多的是针对误吸影响因素及预防措施,尚无 对重症肠内营养病人误吸监测做系统性研究,本文从误吸发生的相关症状、检测误吸的方法作一综述,旨在进一步 完善肠内营养病人误吸的监测方法,为临床医护人员及时发现病人并发误吸的风险提供参考。
Abstract:
Critical patients undergoing enteral nutrition are prone to aspiration due to swallowing function, position, feeding route and other reasons. Complications such as aspiration pneumonia, respiratory distress syndrome, and suffocation increase the mortality rate of patients. Most of the current literatures focused on influencing factors and preventive measures for aspiration. There is no systematic research on aspiration monitoring in critical patients with enteral nutrition. In this study, we reviewed the symptoms of aspiration and the methods for detecting aspiration, aiming to further improve it. The methods for monitoring the aspiration of patients with enteral nutrition can provide a reference for clinical medical staff to detect the risk of aspiration in time.

参考文献/References:


[1] 黎介寿.肠内营养与肠屏障功能.肠外与肠内营养,2016,23(05):257-259.
[2] Chen S, Xian W, Cheng S, et al. Risk of regurgitation and aspiration in patients infused with different volumes of enteral nutrition.Asia Pac J Clin Nutr,2015,24(2): 212-218.
[3] Metheny N A, Davis-Jackson J, Stewart B J. Effectiveness of an Aspiration Risk-Reduction Protocol. Nurs Res,2010,59(1):18-25.
[4] Cohen DL, Roffe C, Beavan J, et al. Post-stroke dysphagia: A review and design considerations for future trials. Int J Stroke,2016, 11(4): 399-411.
[5] Thomas LE, Lustiber L, Webb C, et al. Aspiration prevention: A matter of life and breath. Nursing, 2019, 49(3): 64-66.
[6] Schwarz M, Coccetti A, Murdoch A, et al. The impact of aspiration pneumonia and nasogastric feeding on clinical outcomes in stroke patients: A retrospective cohort study. J Clin Nurs,2018,27(1-2): e235-e241.
[7] Sakai Y, Ohira M, Yokokawa Y. Cough Strength Is an Indicator of Aspiration Risk When Restarting Food Intake in Elderly Subjects With Community-Acquired Pneumonia. Respir Care, 2020,65(2):169-176.
[8] 岳婷婷,李名轩.ICU机械通气患者肠内营养误吸的原因分析及护理体会.临床医药文献电子杂志,2019,6(07):87.
[9] 严高武,严高文,严 静,等.上消化道造影检查硫酸钡误吸分析.实用放射学杂志,2018,34(11):1777-1780,1791.
[10] Park GW, Kim SK, Lee CH, et al. Effect of chronic obstructive pulmonary disease on swallowing function in stroke patients. Ann Rehabil Med, 2015, 39(2): 218-225
[11] Zheng Z, Wu Z, Liu N, et al. Silent aspiration in patients with exacerbation of COPD. Eur Respir J, 2016,48(2):570-573
[12] Zuercher P, Moret C S, Dziewas R, et al. Dysphagia in the intensive care unit: epidemiology, mechanisms, and clinical management. Crit care, 2019, 23(1): 103.
[13] Kang YA, Kim J, Jee SJ, et al. Detection of voice changes due to aspiration via acoustic voice analysis. Auris Nasus Larynx, 2018,45(4): 801-806.
[14] Trapl M, Enderle P, Nowotny M, et al. Dysphagia bedside screening for acute-stroke patients: the Gugging Swallowing Screen. Stroke, 2007, 38(11): 2948-2952.
[15] Warnecke T, Im S, Kaiser C, et al. Aspiration and dysphagia screening in acute stroke – the Gugging Swallowing Screen revisited. Eur J Neurol, 2017, 24(4): 594-601.
[16] Kim SY, Kim TU, Hyun JK, et al. Differences in videofluoroscopic swallowing study (VFSS) findings according to the vascular territory involved in stroke.Dysphagia,2014,29(4):444-449.
[17] Lee JT, Park E, Jung TD. Automatic Detection of the Pharyngeal Phase in Raw Videos for the Videofluoroscopic Swallowing Study Using Efficient Data Collection and 3D Convolutional Networks. Sensors, 2019, 19(18): 3873.
[18] Kim G, Baek S, Park HW, et al. Effect of Nasogastric Tube on Aspiration Risk: Results from 147 Patients with Dysphagia and Literature Review.Dysphagia,2018,33(6): 731-738.
[19] Kahrilas PJ, Kia L. Pepsin: A Silent Biomarker for Reflux Aspiration or an Active Player in Extra-esophageal Mucosal Injury?.Chest,2015,148(2):300-301.
[20] Miles A, Hunting A, McFarlane M, et al. Predictive Value of the New Zealand Secretion Scale (NZSS) for Pneumonia.Dysphagia,2018,33(1): 115-122.
[21] Kuo CW, Allen CT, Huang CC, et al. Murray secretion scale and fiberoptic endoscopic evaluation of swallowing in predicting aspiration in dysphagic patients.Eur Arch Otorhinolaryngol,2017,274(6): 2513-2519.
[22] D'Haese J, De Keukeleire T, Remory I,et al. Assessment of intraoperative microaspiration: does a modified cuff shape improve sealing?. Acta Anaesthesiol Scand, 2013,57(7): 873-880
[23] Kamat P, Favaloro-Sabatier J, Rogers K, et al. Use of methylene blue spectrophotometry to detect subclinical aspiration in enterally fed intubated pediatric patients. Pediatr Crit Care Med,200,8 9(3):299-303.
[24] Rubes D, Klein AA, Lips M,et al.The effect of adjusting tracheal tube cuff pressure during deep hypothermic circulatory arrest: a randomised trial. Eur J Anaesthesiol, 2014, 31(9):452-456.
[25] 张丹羽,王卫华,谢 丽. 亚甲蓝在机械通气患者胃反流误吸监测中的应用. 护理学杂志,2015,30(4):14-16.
[26] Linhares Filho TA, Arcanjo FPN, Zanin LH, et al. The accuracy of the modified Evan's blue dye test in detecting aspiration in tracheostomised patients. J Laryngol Otol, 2019, 133(4): 329-332.
[27] 孙伟平, 黄一宁, 陈 静, 等.“Any Two”试验在卒中后误吸筛查中的应用价值. 中国康复医学杂志, 2009, 24(1): 23-25.
[28] 李有霞.放射性核素显像误检测法的完善及食用色素床旁误吸筛查方法的探讨.广州医科大学,2017:1-70.
[29] 叶向红,宫雪梅,王慧君.减少护理操作中喂养中断 提高早期肠内营养达标率.肠外与肠内营养,2019,26(01):6-7.

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备注/Memo

备注/Memo:
基金项目 :军事医学创新工程(18CXZ040) 作者简介 :王慧君,护理学硕士研究生,从事重症护理专业。E-mail:911958463@qq.com 通讯作者 :叶向红,E-mail:icuyz@126.com
更新日期/Last Update: 1900-01-01