持续腹内压监测预警系统在俯卧位机械通气患者肠内营养中的应用

doi:10.3761/j.issn.2096-7446.2025.07.005

摘要/Abstract

摘要：

目的探讨持续腹内压监测预警系统在俯卧位机械通气患者肠内营养实施中应用的效果。方法选取2022年7月—2024年5月于上海市某三级医院重症监护室行俯卧位机械通气的80例患者为研究对象，采用随机数字表法将患者分为试验组及对照组。试验组实施基于持续腹内压监测预警系统的肠内营养管理方案，对照组实施常规肠内营养治疗方案。比较两组患者喂养达标率，7 d内喂养不耐受症状的发生率及营养状态。结果试验组喂养达标率（86.75%）高于对照组（55.48%），差异有统计学意义（P<0.001）。试验组喂养不耐受症状发生率（37.84%）低于对照组（64.86%），差异有统计学意义（P=0.020）。试验组第8天前白蛋白及白蛋白指标均高于对照组，差异有统计学意义（P<0.05）。两组间小腿围对比，差异无统计学意义（P>0.05）。结论使用持续腹内压监测预警系统，有助于提高俯卧位机械通气患者喂养达标率，降低患者喂养不耐受发生率，改善患者营养状态，对患者的肠内营养实施具有临床指导意义。

关键词: 俯卧位, 腹内压, 信息预警, 肠内营养, 喂养不耐受

Abstract:

Objective To explore the application effect of a continuous intra-abdominal pressure monitoring and warning system in enteral nutrition for prone mechanical ventilation patients.Methods The research enlisted 80 patients who were subjected to prone position mechanical ventilation in the Intensive Care Unit of a tertiary hospital in Shanghai from July 2022 to May 2024. Using the Random number table method，they were divided into intervention group and control group. The intervention group used the continuous intra-abdominal pressure monitoring and warning system in enteral nutrition and the control group used the conventional enteral nutrition treatment. The feeding compliance rates，the incidence of feeding intolerance symptoms within 7 days and nutritional indicators were compared between the two groups. Results The feeding compliance rate in intervention group was higher than the control group（86.75% VS 55.48%，P<0.001）. The incidence of feeding intolerance symptoms in intervention group was lower than the control group（37.84% VS 64.86%，P=0.020）. On the 8th day，the nutritional indicators in intervention group had higher levels of pre-albumin and albumin than the control group，the differences were statistically significant（P<0.05）. The difference in calf circumference between the two groups was not statistically significant（P>0.05）. Conclusion The application of continuous intra-abdominal pressure monitoring and warning system can help to improve the rate of feeding compliance，reduce the incidence of feeding intolerance，and enhance the indicators of nutrition. It has clinical guidance significance for the implementation of enteral nutrition in prone mechanical ventilation patients.

Key words: Prone Position, Intra-Abdominal Pressure, Information Alert, Enteral Nutrition, Feeding Intolerance

陈建勤, 戴珍娟, 王洁, 刘依萌, 程永敬, 徐沈婷. 持续腹内压监测预警系统在俯卧位机械通气患者肠内营养中的应用[J]. 中华急危重症护理杂志, 2025, 6(7): 798-804.

CHEN Jianqin, DAI Zhenjuan, WANG Jie, LIU Yimeng, CHENG Yongjing, XU Shenting. Application of continuous intra-abdominal pressure monitoring and warning system in enteral nutrition for prone mechanical ventilation patients[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(7): 798-804.

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