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胃窦运动指数指导肠内营养在重症脑血管疾病患者中的应用价值

黎晋宇 张丽珠 温赐祥 李华 林汇

生命科学仪器2025,Vol.23Issue(5):63-65,68,4.
生命科学仪器2025,Vol.23Issue(5):63-65,68,4.DOI:10.11967/2025231021

胃窦运动指数指导肠内营养在重症脑血管疾病患者中的应用价值

Application Value of Gastric Antrum Movement Index in Guiding Enteral Nutrition in Patients with Severe Cerebrovascular Disease

黎晋宇 1张丽珠 1温赐祥 1李华 2林汇1

作者信息

  • 1. 珠海市中西医结合医院超声医学科,广东 珠海 519000
  • 2. 珠海市中西医结合医院神经内科,广东 珠海 519000
  • 折叠

摘要

Abstract

Objective:To explore the clinical value of ultrasonic monitoring of gastric antrum motility index in guid-ing enteral nutrition in patients with severe cerebrovascular disease Methods:120 patients with severe cerebrovascu-lar disease admitted to Zhuhai Hospital of Integrated Traditional Chinese and Western Medicine from July 2023 to July 2024 were randomly divided into experimental group and control group,with 60 cases in each group.The exper-imental group adjusted the enteral nutrition scheme according to the range of gastric antrum movement index moni-tored by ultrasound in real time,while the control group adjusted the enteral nutrition scheme according to the clin-ical experience of evaluating gastric residue by gastric tube withdrawal.The feeding time、nutritional index、health status and complications of the two groups were compared.Results:The feeding time of the experimental group was significantly shorter than that of the control group,and the serum levels of PA、TRF and TP were higher than those of the control group after 7 days of intervention,P<0.05.Comparison of △NRS and △APACHEⅡ between the two groups,P>0.05.During feeding,the incidence of reflux in the experimental group was significantly lower than that in the control group,P<0.05.The incidence of aspiration、diarrhea and nutritional interruption between the two groups was compared,P>0.05.Conclusion:Ultrasonic monitoring of gastric antrum motility index to guide enteral nutrition can shorten the feeding time of patients with severe cerebrovascular disease,obviously improve their nutritional status,and reduce the incidence of reflux,which provides an important reference for individualized nutritional treatment.

关键词

肠内营养/胃窦运动指数/超声监测/胃残余量/脑血管疾病

Key words

Enteral nutrition/Antral motility index/Ultrasound/Gastric residual volume/Cerebrovascular disease

分类

医药卫生

引用本文复制引用

黎晋宇,张丽珠,温赐祥,李华,林汇..胃窦运动指数指导肠内营养在重症脑血管疾病患者中的应用价值[J].生命科学仪器,2025,23(5):63-65,68,4.

基金项目

2023年度珠海市社会发展领域科技计划项目,项目编号:2320004000292 ()

生命科学仪器

1671-7929

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