基于腹内压分级肠内营养护理方案的构建及应用
Development and application of enteral nutrition protocol based on intra-abdominal pressure grading
王梅梅 1彭飞 2乔安花 2王银娥 3周丙梅 3李文放4
作者信息
- 1. 蚌埠医科大学第一附属医院急诊外科(安徽 蚌埠,233000);苏州大学医学部护理学院
- 2. 上海长征医院 护理处
- 3. 蚌埠医科大学第一附属医院急诊外科(安徽 蚌埠,233000)
- 4. 上海长征医院重症医学科
- 折叠
摘要
目的 构建基于腹内压分级的肠内营养护理方案,评价临床应用效果.方法 将2023年4-11月重症监护室住院的80例伴腹内高压重症患者按时间段分为两组各40例.对照组采用常规肠内营养护理;观察组采用基于腹内压分级的肠内营养护理方案.连续实施7d后评价效果.结果 观察组与对照组分别有37例、38例完成研究.观察组喂养不耐受发生率显著低于对照组,干预7 d后总蛋白、白蛋白、前白蛋白、血红蛋白水平显著高于对照组,达预期目标喂养量时间显著短于对照组(均P＜0.05).结论 对ICU腹内高压重症患者实施基于腹内压分级的肠内营养护理方案,可降低喂养不耐受发生率,提高喂养有效率,改善患者营养状况.
Abstract
Objective To develop enteral nutrition(EN)protocol based on intra-abdominal pressure(IAP)grading and to evaluate the clinical effect.Methods Eighty critically ill patients with intra-abdominal hypertension admitted to the intensive care unit from April to November 2023 were assigned to two groups chronologically,with 40 in each group.The control group was given routine EN,while the intervention group received EN based on the IAP grading.The effect was evaluated after 7 consecutive days of inter-vention.Results Thirty-seven patients in the intervention group and 38 patients in the control group completed the study.The inter-vention group had significantly lower incidence of feeding intolerance,higher concentrations of total protein,albumin,prealbumin,and hemoglobin,as well as shorter time required to achieve target-feeding rate compared with the control group(all P＜0.05).Conclusion EN guided by IAP grading for ICU patients with intra-abdominal hypertension can reduce the incidence of feeding into-lerance,enhance the feeding efficiency,and improve nutritional status of patients.
关键词
重症患者/腹内高压/重症监护室/腹内压分级/肠内营养/干预方案/重症护理Key words
critically ill patient/intra-abdominal hypertension/intensive care unit intra-abdominal pressure grading/enteral nutrition/intervention protocol/critical care引用本文复制引用
基金项目
上海申康医院发展中心急诊与危重病诊疗新技术培训项目(2022)(SHDC22022205)
出版年
2024
NETL
NSTL
万方数据