[1]田飞,米元元,刘静兰,等.超声监测胃残余量对重症患者肠内营养效果的Meta分析[J].军事护理,2021,38(10):47-53.[doi:10.3969/j.issn.1008-9993.2021.10.013]
 TIAN Fei,MI Yuanyuan,LIU Jinglan,et al.Effect of Ultrasonic Monitoring of Gastric Residual Volume on Enteral Nutrition of Severe Patients: A Meta-Analysis[J].Nursing Journal Of Chinese People's Laberation Army,2021,38(10):47-53.[doi:10.3969/j.issn.1008-9993.2021.10.013]
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超声监测胃残余量对重症患者肠内营养效果的Meta分析
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
38
期数:
2021年10期
页码:
47-53
栏目:
循证护理
出版日期:
2021-10-15

文章信息/Info

Title:
Effect of Ultrasonic Monitoring of Gastric Residual Volume on Enteral Nutrition of Severe Patients: A Meta-Analysis
文章编号:
1008-9993(2021)10-0047-08
作者:
田飞1米元元2刘静兰1张蓉1郭庆1桂升敏3席祖洋1张凌云1杨路焕1
(1.宜昌市中心人民医院 急重症医学科, 湖北 宜昌 443003; 2.华中科技大学同济医学院附属协和医院 重症医学科,湖北 武汉430022; 3.宜昌市第一人民医院 重症医学科, 湖北 宜昌 443000)
Author(s):
TIAN Fei1MI Yuanyuan2LIU Jinglan1ZHANG Rong1GUO Qing1GUI Shengmin2XI Zuyang1ZHANG Lingyun1YANG Luhuan1
(1.Department of Emergency and Critical Care Medicine,Yichang Central People's Hospital,Yichang 443003,Hubei Province,China; 2.Department of Critical Medicine,Wuhan Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,Hubei Province,China; 3.Department of Critical Medicine,Yichang First People's Hospital,Yichang 443000,Hubei Province,China)
关键词:
肠道营养 胃残余量 Meta分析 重症监护
Keywords:
enteral nutrition gastric residual volume Meta-analysis intensive care
分类号:
R47
DOI:
10.3969/j.issn.1008-9993.2021.10.013
文献标志码:
A
摘要:
目的 系统评价超声与注射器回抽两种监测方法在评估重症患者胃残余量的安全性和有效性。方法 计算机检索Cochrane Library、PubMed、Web of Science、Embase、中国知网、万方数据库、中国生物医学文献数据库中关于重症肠内营养支持患者胃残余量监测方法的随机对照试验和类试验研究,并进行Meta分析。结果 共纳入15篇文献,包含1138例研究对象。Meta分析显示,超声监测胃残余量能明显降低腹泻、反流、胃潴留、误吸发生率(P<0.05); 且患者血清白蛋白水平的改善效果更为明显(P<0.05)、监测操作时间更短(P<0.05)、喂养达标时间更早(P<0.05)、喂养中断次数更少(P<0.05)。结论 超声监测胃残余量具有更好的安全性和有效性,值得在重症肠内营养患者中推广应用。
Abstract:
Objective To systematically evaluate the safety and effectiveness of ultrasound and syringe withdrawal monitoring methods in the gastric residual volume evaluation in critical patients.Methods Retrieved by computer from Cochrane Library,PubMed,Web of Science,Embase,CNKI,Wanfang Database,and China Biomedical Literature Database(CBM),the randomized controlled trials and trial-like studies on gastric residual volume monitoring in patients with severe enteral nutrition support.Meta analysis was conducted.Results A total of 15 literatures,with 1138 subjects in total were included.The results of Meta analysis showed that the incidence of diarrhea,reflux,gastric retention and aspiration in patients monitored by ultrasound were significantly decreased(P<0.05).In the ultrasound group,the improvement of serum albumin level was more significant(P<0.05),the operation time of monitoring was shorter(P<0.05),the feeding time was quickly achieved(P<0.05),and the frequency of feeding interruption was less(P<0.05).Conclusions Ultrasound monitoring of gastric residual volume is better in terms of safety and effectiveness which is worthy of promotion and application in patients with severe enteral nutrition.

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(本文编辑:郁晓路)

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备注/Memo

备注/Memo:
【 收稿日期 】 2021-02-08 【 修回日期 】 2021-08-30
【 基金项目 】 2019年华中科技大学同济医学院附属协和医院教学改革研究项目(02.03.2019.15-41)
【 作者简介 】 田飞,本科,主管护师,从事急诊护理工作
【 通信作者 】 米元元,电话:027-85351606
更新日期/Last Update: 2021-10-15