[1]何 聪,付 优,白银箱,等.胃肠超声在重型颅脑损伤病人营养治疗中的应用价值[J].肠外与肠内营养杂志,2022,(01):24-27.[doi:10.16151/j.1007-810x.2022.01.005]
　HE Cong,FU You,BAI Yin-xiang,et al.The application of gastrointestinal ultrasound in nutritional management of patients with severe craniocerebral injury[J].PARENTERAL & ENTERAL NUTRITION,2022,(01):24-27.[doi:10.16151/j.1007-810x.2022.01.005]
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胃肠超声在重型颅脑损伤病人营养治疗中的应用价值
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《肠外与肠内营养》杂志[ISSN:1007-810X/CN:32-1477/R]

卷:
期数:
2022年01期
页码:
24-27
栏目:
论著
出版日期:
2022-01-10

文章信息/Info

Title:
The application of gastrointestinal ultrasound in nutritional management of patients with severe craniocerebral injury
作者:
何 聪1; 付 优 1; 白银箱 1; 赵鹤龄 1; 申丽旻 1; 杜全胜 1; 王显雷 2
1.河北省人民医院重症医学科，河北石家庄 050051；2.河北省胸科医院结核三病区，河北石家庄 050048
Author(s):
HE Cong1;  FU You1;  BAI Yin-xiang1;  ZHAO He-ling1;  SHEN Li-min1;  DU Quan-sheng1;  WANG Xian-lei2
1.Department of ICU, Hebei General Hospital, Shijiazhuang 050051,Hebei, China；2.Department of Tuberculosis 3rd Inpatient Area, Hebei Chest Hospital, Shijiazhuang 050048,Hebei, China
关键词:
胃肠超声 ; 重型颅脑损伤 ; 胃窦动力监测 ; 胃窦运动指数
Keywords:
Gastrointestinal ultrasound;  Severe craniocerebral injury;  Gastric antrum dynamic monitoring;  Antral Motility Index
分类号:
R651.1+5，R445.1
DOI:
10.16151/j.1007-810x.2022.01.005
文献标志码:
A
摘要:
目的：探讨床旁胃肠超声在重型颅脑损伤病人中的应用价值。 方法：选择2019年8月至2021年8月入住河北省人民医院重症医学科的重型颅脑损伤病人56例，随机分为2组，对照组和干预组各28例，干预组病人全部应用超声进行胃窦运动指数、胃窦横截面积监测，并联合应用肠道超声指导肠内营养的应用。对照组病人根据胃残余量经验性调整肠内营养的速度。 结果：干预组肠内营养开始时间及达到目标喂养量时间均短于对照组，差异有统计学意义(P < 0.05)；观察组返流发生率低于对照组，差异有统计学意义(P < 0.05)；2组误吸、腹泻及营养中断率、住ICU时间及28 d病死率比较差异无统计学意义(P > 0.05)。 结论：胃肠超声可为重型颅脑外伤病人提供个体化的营养治疗方案，尽早达到目标喂养量，并可减少返流发生率。
Abstract:
Objective: To explore the application of bedside gastrointestinal ultrasound in patients with severe craniocerebral injury. Methods: Fifty-six patients with severe craniocerebral injury were randomly divided into two groups, namely the control group and the intervention group, with 28 cases in each group. All patients Ultrasound was used in the intervention group to calculate the gastric antrum movement index and cross-sectional area, and to guide the application of enteral nutrition. The rate of enteral nutrition was empirically adjusted according to the gastric residual volume in the control group. Results: The initiation of enteral nutrition and the time to reach the feeding target in the intervention group were shorter than those in the control group, with statistical significance (P < 0.05). The incidence of reflux in intervention group was remarkably lower than that in control group (P < 0.05). There was no significant difference in the rates of aspiration, diarrhea, nutritional interruption, as well as the length of ICU stay and 28-day mortality between the two groups (P > 0.05). Conclusion: Gastrointestinal ultrasound could provide individualized nutritional management for patients with severe craniocerebral injury, achieve the feeding target in shorter time, and reduce the incidence of reflux.

参考文献/References:


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备注/Memo

备注/Memo:
基金项目 ：河北省卫生健康委员会科技计划项目(20200741） 作者简介 ：何 聪, 副主任医师，医学硕士，从事重症医学疾病诊治研究。E-mail：hecongicu1982@126.com 通讯作者 ：王显雷，E-mail:daydaygo2001@163.com
更新日期/Last Update: 1900-01-01