Abstract: 【Abstract】〓Objectives〓To investigate the effect of intra-abdominal pressure (IAP) monitoring technology on early enteral nutritionin in ICU patients. Methods〓Ninty-five ICU cases with early enteral nutrition were divided into the experimental group (n=48) and the control group (n=47). The patients in experimental group were treated with intra-abdominal pressure monitoring and routine enteral nutrition nursing strategy. The control group received enteral nutrition nursing trategy alone. The complications, the enteral nutrition days, the days of ICU stay, were recorded and analyzed in two group. Results〓The complications such as gastric retention, abdominal distension, reflux were significantly lower in experimental group than those in the control group (P<0.05). The enteral nutrition days and the ICU stay days in experimental group were less than those in the control group (P<0.05). Three cases in experimental group developed to MODS and 2 cases died. Ten cases in control group developed to MODS and 8 died. Conclusion〓IAP monitoring can be used as an index to guide the rational use of early enteral nutrition in critical patients.

Key words: Intra-abdominal pressure, ICU, Enteral nutrition

摘要： 【摘要】〓目的〓探讨腹内压监测技术在指导危重患者实施早期肠内营养支持中的应用效果。方法〓将重症监护病房(ICU)95例实施早期肠内营养支持患者分为实验组48例和对照组47例,实验组采用腹内压监测+常规肠内营养护理策略,对照组采用常规肠内营养护理策略。比较两组患者早期肠内营养并发症的发生情况、肠内营养实施天数、ICU住院天数、MODS发生率和死亡率。结果〓实验组胃潴留、腹胀、反流等并发症的发生率均明显低于对照组,肠内营养实施天数及ICU住院天数均少于对照组,差异均具有统计学意义(P<0.05)。实验组中3例发展为MODS,2例死亡;对照组有10例MODS,8例死亡。结论〓腹内压水平可作为指导危重患者合理开展早期肠内营养的有效指标,对降低肠内营养并发症和改善患者预后起积极作用。

关键词: 腹内压, 危重患者, 早期肠内营养