岭南现代临床外科2024，Vol.24Issue(5)：320-325,6.DOI:10.3969/j.issn.1009-976X.2024.05.009
ICU患者早期肠内营养中大便次数变化在耐受性评估中作用的研究
Study on the effect of changes in stool frequency in early enteral nutrition of ICU patients on tolerance assessment
摘要
Abstract
Objective To investigate the efficacy of assessment of early enteral nutrition(EN)toler-ance in ICU patients and the role of abnormal stool frequency monitoring.Methods The basic data of patients who met the inclusion criteria from January 1,2021 to May 30,2023,and the GRV,stool frequency,abdominal circumference,and bladder pressure on the 1st to 7th day before and after EN were retrospectively collected and grouped into groups.The change trend of each observation index,the occurrence time and incidence of abnormalities,and the percentage as the earliest basis for determining tolerance were analyzed and compared.Results The incidence of EN intolerance in ICU patients was 85.9%,the most common was abnormal stool,91.1%had no stool for a day,40.3%had no stool for more than 3 days,and 47.6%had diarrhea.In the intolerance group,the incidence of abnormal stool was 90.2%,the average occurrence time was 4.0 days,and the incidence of diarrhea was the highest on the 4th day with more than 3 days absence.As the basis for the earliest determination of intolerance,the percent-age from high to low was diarrhea,increased bladder pressure,no stool for more than 3 days,GRV,increased abdominal circumference,and abdominal distension.Conclusion The incidence of early EN intolerance in ICU patients was 85.9%.As a method for early identification of EN intolerance,both no stool and diarrhea showed good evaluation value,and should be paid attention to in ICU EN management.关键词
ICU患者/肠内营养/耐受性/大便异常Key words
ICU patients/enteral nutrition/tolerance/abnormal stool分类
医药卫生引用本文复制引用
丘宇茹,蔡敏,李子樱,王吉文..ICU患者早期肠内营养中大便次数变化在耐受性评估中作用的研究[J].岭南现代临床外科,2024,24(5):320-325,6.基金项目
广东省医学科学技术研究基金项目(A2021309) （A2021309）
