中国医学创新Issue(13)：33-35,3.DOI:10.3969/j.issn.1674-4985.2014.13.012
应用腹内压监测对严重多发伤患者早期空肠营养并发症的观察
Investigate the Complications of the Early Enteral Nutrition for Severe Multiple Trauma Patients with Intra-abdominal Pressure Monitoring
摘要
Abstract
Objective: To investigate the complications of early enteral nutrition of the severe multiple trauma patients by the intra-abdominal pressure monitoring.Method: 80 patients with multiple trauma were divided into the severe multiple trauma (the observation groups) and the mildly multiple monitoring trauma(the control groups) by the injury severity scoring(ISS). Intra-abdominal pressure of two groups were monitored. The observation group adjusted enteral nutrition according to the intra-abdominal pressure monitoring, but the control group used conventional methods. The Level of the intra-abdominal pressure, the mortality and the incidence rate of the complications of enteral nutrition between the two group were compared, and the score of MODS, the incidence rate of MODS, the case-fatality rate of the two groups were compared.Result: IAP, case fatality rate, viscera dysfunction rate and the incidence rate of the complications of enteral nutrition in the observation group were significantly higher than that of the control group, the differences were statistically significant (P<0.05).The observation group appeared different degree of abdominal distention, the patients’ abdominal girth changed obviously; the more severe abdominal distension, the greater the abdominal girth changed; patients’ intra-abdominal pressure and average difference value had a significant changed before and after the abdominal distention, diarrhea appeared, and the difference were statistically significant (P<0.05). Conclusion: Intra-abdominal pressure monitoring in patients with severe multiple trauma complications early jejunum nutrition has clinical significance, complications can effectively reduce the enteral nutrition for critically ill patients with serious consequences.关键词
腹内压监测/严重多发伤/早期空肠营养/并发症Key words
Intra-abdominal pressure monitoring/Severe multiple trauma/Early enteral nutrition/Complication引用本文复制引用
黄庆萍,肖端偶,夏晓,郑楚真,王宏伟,范真..应用腹内压监测对严重多发伤患者早期空肠营养并发症的观察[J].中国医学创新,2014,(13):33-35,3.基金项目
2012年东莞市科技局立项课题 （）
