在急性脑损伤后考虑胃肠功能的十个好理由
Silvia De Rosa1,2, Denise Battaglini3, Juan Antonio Llompart-Pou4
1Centre for Medical Sciences - CISMed, University of Trento, Via S. Maria Maddalena 1, 38122, Trento, Italy.
Journal of clinical monitoring and computing
|July 7, 2023
概括
对急性脑损伤 (ABI) 患者来说,监测胃肠功能至关重要. 评估肠道健康,包括腹内压力,可以改善神经临床护理结果.
科学领域:
- 神经科学是一个神经科学.
- 胃肠病学 胃肠病学
- 关键护理医学 关键护理医学
背景情况:
- 大脑-肠轴描述了大脑和胃肠系统之间的双向通信.
- 急性脑损伤 (ABI) 可以导致胃肠道 (GI) 功能障碍,影响患者的结果.
- 目前用于监测ABI患者的胃肠道功能的方法有限.
研究的目的:
- 突出评估急性脑损伤患者的胃肠功能的重要性.
- 在神经临床护理中考虑胃肠道功能的十个关键原因.
- 强调地理标志性评估在管理ABI中的作用.
主要方法:
- 审查关于大脑-肠轴和ABI.BI的现有文献.
- 讨论潜在的胃肠道监测技术,包括超声波和腹内压力 (IAP).
- 分析肠道功能障碍,肠道内膜炎和内压力之间的生理联系.
主要成果:
- 胃肠道功能障碍是ABI的一个常见并发症.
- 超声波为监测胃排空,周立体和肠道参数提供了潜在的可能性.
- 腹腔内压力 (IAP) 是一个与肠道功能障碍和脑 perfusion 相关的床边可测量的参数.
结论:
- 评估胃肠道功能对于ABI患者的神经临床护理至关重要.
- 整合胃肠道监测可以改善患者的管理和结果.
- 需要进一步研究和临床应用GI监测技术.
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