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

Abstract

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

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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References 20

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Application of continuous intra-abdominal pressure monitoring and warning system in enteral nutrition for prone mechanical ventilation patients

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