在重症监护室人工营养期间的腹和便秘:一项前性观察性研究
Matteo Danielis1, Elisa Mattiussi2, Tommaso Piani3
1Department of Anesthesia and Intensive Care, Health Integrated Agency Friuli Centrale, Academic Hospital of Udine, Piazzale Santa Maria della Misericordia 15, Udine, Italy; Laboratory of Studies and Evidence Based Nursing, Department of Medicine, University of Padua, Italy.
腹和便秘等胃肠道并发症在重症患者中很常见,在重症监护室 (ICU) 接受人工营养. 创伤入院预测便秘,而利尿剂预测腹.
科学领域:
- 关键护理医学 关键护理医学
- 胃肠病学 胃肠病学
- 临床营养学 临床营养学
背景情况:
- 胃肠道 (GI) 并发症在需要人工营养的重症患者中很常见.
- 了解腹和便秘等胃肠道问题的发生率和预测因素对于优化重症监护室 (ICU) 患者护理至关重要.
研究的目的:
- 为了确定人工养危急病患者在ICU的最初七天内出现腹和便秘的情况.
- 为了确定与这些胃肠道并发症相关的因素.
主要方法:
- 在ICU环境中进行了一项观察前性研究.
- 收集的数据包括患者的人口统计,营养状况和服用的药物.
- 进行了统计分析,以确定胃肠道并发症的预测因素.
主要成果:
- 腹影响了44%的患者,而便秘发生在22%.
- 由于创伤而入院的患者患上便秘的可能性明显更高 (OR 23.99).
- 利尿剂的使用与腹风险增加密切相关 (OR 16.25).
结论:
- 胃肠道并发症仍然是ICU患者肠道营养的一个重大挑战.
- 创伤入院和利尿剂的使用分别是便秘和腹的关键预测因素.
- 推个性化的营养和管理策略来缓解这些胃肠道问题.
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