CAJ | 학술논문

目的：探讨腹内压监测技术在指导危重患者实施早期肠内营养支持中的应用效果。方法将重症监护病房（ICU）95例实施早期肠内营养支持患者分为实验组48例和对照组47例，实验组采用腹内压监测＋常规肠内营养护理策略，对照组采用常规肠内营养护理策略。比较两组患者早期肠内营养并发症的发生情况、肠内营养实施天数、ICU住院天数、MODS 发生率和死亡率。结果实验组胃潴留、腹胀、反流等并发症的发生率均明显低于对照组，肠内营养实施天数及ICU住院天数均少于对照组，差异均具有统计学意义（P＜0．05）。实验组中3例发展为MODS，2例死亡；对照组有10例MODS，8例死亡。结论腹内压水平可作为指导危重患者合理开展早期肠内营养的有效指标，对降低肠内营养并发症和改善患者预后起积极作用。
목적：탐토복내압감측기술재지도위중환자실시조기장내영양지지중적응용효과。방법장중증감호병방（ICU）95례실시조기장내영양지지환자분위실험조48례화대조조47례，실험조채용복내압감측＋상규장내영양호리책략，대조조채용상규장내영양호리책략。비교량조환자조기장내영양병발증적발생정황、장내영양실시천수、ICU주원천수、MODS 발생솔화사망솔。결과실험조위저류、복창、반류등병발증적발생솔균명현저우대조조，장내영양실시천수급ICU주원천수균소우대조조，차이균구유통계학의의（P＜0．05）。실험조중3례발전위MODS，2례사망；대조조유10례MODS，8례사망。결론복내압수평가작위지도위중환자합리개전조기장내영양적유효지표，대강저장내영양병발증화개선환자예후기적겁작용。
Objectives To investigate the effect of intra-abdominal pressure (IAP) monitoring technology on early enteral nutritionin in ICU patients. Methods Ninty-five ICU cases with early enteral nutrition were divided into the experimental group (n=48) and the control group (n=47). The patients in experimental group were treated with intra-abdominal pressure monitoring and routine enteral nutrition nursing strategy. The control group received enteral nutrition nursing trategy alone. The complications , the enteral nutrition days , the days of ICU stay , were recorded and analyzed in two group. Results The complications such as gastric retention, abdominal distension, reflux were significantly lower in experimental group than those in the control group (P<0.05). The enteral nutrition days and the ICU stay days in experimental group were less than those in the control group (P<0.05). Three cases in experimental group developed to MODS and 2 cases died. Ten cases in control group developed to MODS and 8 died. Conclusion IAP monitoring can be used as an index to guide the rational use of early enteral nutrition in critical patients.