Effect of abdominal pressure grading management strategy applied to ICU patients
Objective To explore the effect of hierarchical management of abdominal pressure in ICU patients.Methods 60 se-vere patients treated in ICU of our hospital from December 2022 to December 2023 were selected as study objects and divided into con-trol group and observation group according to random number table method,with 30 cases in each group.The control group was given conventional enteral nutrition intervention,and the observation group was given enteral nutrition intervention with intraperitoneal pres-sure hierarchical management strategy.The intervention effects(length of ICU stay,abdominal pressure,target feeding rate),gastroin-testinal tolerance[diarrhea,gastric retention,intestinal nutrition interruption and reflux aspiration],and nutritional indexes[hemoglobin(HGB),transferrin(TRF),prealbumin(PAB),albumin(ALB)levels]of the two groups were observed.Results The duration of ICU stay,abdominal pressure at 4 and 7 days of intervention in the observation group were lower than those in the control group,and the rate of reaching the target feeding amount was higher than that in the control group,the difference was statistically significant(P＜0.05 for all).Compared with the gastrointestinal tolerance of the two groups,the incidence of gastric retention,intestinal nutrition interruption and reflux aspiration in the observation group was lower than that in the control group,and the differences were statistically significant(all P＜0.05).There was no significant difference in HGB,TRF,PAB and ALB levels between the two groups before intervention(all P＞0.05).After14 days of intervention,the levels of HGB,TRF,PAB and ALB in the observation group were significantly higher than those in the control group,with statistical significance(all P＜0.05).Conclusion The application of hierarchical management strategy of abdominal pressure in ICU patients with severe disease can improve the target feeding rate and gastrointestinal tolerance,and improve abdominal pressure and nutritional status.
Severe patientsAbdominal pressureGastrointestinal toleranceNutritional indexTarget feeding rate of reaching standard
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