CAJ | 학술논문

分析重症脑卒中患者肠内营养支持过程中腹内压（IAP)增高的影响因素，为重症脑卒中患者肠内营养支持过程中IAP监测提供依据。方法：针对80例给予肠内营养的重症脑卒中患者，采用膀胱测压法，监测入院后1周内的IAP，分析患者IAP增高的影响因素。结果：80例（测量IAP 1680次）重症脑卒中患者，有22例（297次）出现了IAP增高；格拉斯哥昏迷指数（GCS）≤8分、给予机械通气是重症脑卒中患者IAP增高的危险因素（P<0.05），腹胀与IAP呈正相关（P<0.001）。结论：重症脑卒中患者在进行肠内营养过程中，一旦出现GCS≤8分、机械通气、腹胀明显时应立即行IAP监测，为护理监测指标提供了依据，为保证患者营养支持的安全起到了一定指导意义。
분석중증뇌졸중환자장내영양지지과정중복내압（IAP)증고적영향인소，위중증뇌졸중환자장내영양지지과정중IAP감측제공의거。방법：침대80례급여장내영양적중증뇌졸중환자，채용방광측압법，감측입원후1주내적IAP，분석환자IAP증고적영향인소。결과：80례（측량IAP 1680차）중증뇌졸중환자，유22례（297차）출현료IAP증고；격랍사가혼미지수（GCS）≤8분、급여궤계통기시중증뇌졸중환자IAP증고적위험인소（P<0.05），복창여IAP정정상관（P<0.001）。결론：중증뇌졸중환자재진행장내영양과정중，일단출현GCS≤8분、궤계통기、복창명현시응립즉행IAP감측，위호리감측지표제공료의거，위보증환자영양지지적안전기도료일정지도의의。
Objective:To explore the influencing factors of Intra-Abdominal Pressure in the process of enteral nutritional support among patients with severe stroke, and to provide references for monitoring Intra-Abdominal Pressure among patients with severe stroke. Methods:Totally 80 patients with severe stoke who received enteral nutrition were recruited and measured Intra-Abdominal Pressure by bladder pressure method within 1 week after admission. The inlfuencing factors of Intra-Abdominal Pressure were investigated by self-designed questionnaire. Results:The 80 patients measured 1680 times of Intra-Abdominal Pressure and 22 patients have high Intra-Abdominal Pressure (297 times). Having abdominal distention was related to the high Intra-Abdominal Pressure (P<0.001). GCS 8 and mechanical ventilation were the inlfuencing factors of Intra-Abdominal Pressure (P<0.05). Conclusion:If patients with severe stroke have low GCS score (GCS 8), with mechanical ventilation or having abdominal distention in the process of enteral nutrition, Intra-Abdominal Pressure measurement would be helpful. The results could guide safe nutrition support and provide references for adding nursing monitoring indicators.