腹内压监测联合床旁可视化胃肠管在重症监护室脑出血患者营养支持中的临床应用
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张莉
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如皋市人民医院重症医学科，江苏如皋，226500
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摘要：目的 探讨在重症监护室脑出血患者营养支持中应用腹内压监测联合床旁可视化胃肠管的效果。方法 选择2025年1月-6月医院重症监护室收治脑出血患者70例，按照数表随机法分组。对照组（35 例）予常规营养支持方案，观察组（35 例）予腹内压监测的个体化营养支持联合床旁可视化胃肠管治疗，比较两组腹内压、营养指标、重症监护室停留时间与住院时间，最后统计胃肠道并发症。结果 观察组干预后腹内压低于对照组（P<0.05）；观察组干预后营养指标均高于对照组（P<0.05）；观察组重症监护室停留时间与住院时间短于对照组（P<0.05 ）；观察组胃肠道并发症率低于对照组（P<0.05）。结论 在重症监护室脑出血患者营养支持中应用腹内压监测联合床旁可视化胃肠管，能有效控制腹内压，改善营养指标，缩短住院治疗时间并减少胃肠道相关并发症。
关健词：腹内压监测；床旁可视化胃肠管；重症监护室；脑出血；营养支持 |
Clinical Application of Abdominal Pressure Monitoring Combined with Bedside Visualized Gastrointestinal Tube in Nutritional Support for Brain Hemorrhage Patients in the Intensive Care Unit
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Li Zhang
Department of Critical Care Medicine, Rugao People's Hospital, Rugao Jiangsu 226500 , China
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Abstract: Objective To evaluate the efficacy of intra-abdominal pressure monitoring combined with bedside visualized gastrointestinal tube in nutritional support for brain hemorrhage patients in intensive care units (ICUs). Methods A total of 70 brain hemorrhage patients admitted to the ICU from January to June 2025 were enrolled and randomized into groups using a numerical table randomization method. The control group (n=35) received conventional nutritional support, while the observation group (n=35) received individualized nutritional support based on intra-abdominal pressure monitoring combined with bedside visualized gastrointestinal tube. Differences in intra-abdominal pressure, nutritional parameters, ICU stay duration, hospitalization duration, and gastrointestinal complications were compared between the two groups. Results Post-intervention, the intra-abdominal pressure in the observation group was significantly lower than that in the control group (P<0.05 ); all nutritional parameters in the observation group were superior to those in the control group (P<0.05 ); ICU stay duration and hospitalization duration were shorter in the observation group (P<0.05 );and the incidence of gastrointestinal complications was lower in the observation group (P<0.05 ). Conclusion The combination of intra-abdominal pressure monitoring and bedside visualized gastrointestinal tube in nutritional support for brain hemorrhage patients in ICUs effectively controls intra-abdominal pressure, improves nutritional outcomes, reduces hospitalization duration, and decreases gastrointestinal-related complications.
Keywords : Intra-abdominal pressure monitoring; Bedside visual gastrointestinal tube; Intensive care unit (ICU); Intracerebral hemorrhage(ICH); Nutritional support
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