在外科重症监护病房的胃口管养不耐受症的特征
Halen Turner1, Sabrina Morales1, Alison Hanson1
1Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin.
The Journal of surgical research
|December 9, 2025
概括
胃口管 (GT) 放置后的食不耐受 (FI) 影响了近四分之一的手术ICU患者. 这种情况可能需要替代的营养路线,强调需要提高意识以防止营养不良.
科学领域:
- 关键护理医学 关键护理医学
- 手术营养是指手术营养.
- 胃肠病学 胃肠病学
背景情况:
- 胃口切除管 (GT) 放置后的食不耐受 (FI) 是手术重症监护室 (ICU) 患者中未经研究的并发症.
- FI可以显著影响患者的康复和营养状况.
研究的目的:
- 为了确定手术ICU患者在GT安置后FI的发病率.
- 为了比较GT安置后FI和没有FI的患者的特征.
主要方法:
- 对2020年至2023年间接受GT安置的手术ICU患者的回顾性图表审查.
- 由于特定症状 (恶心,吐,腹部膨胀等) 而停止肠道营养 (EN) 定义了FI. ) 的情况.
- 统计分析比较了FI患者和非FI患者之间的患者人口统计和结果.
主要成果:
- 在GT安置后,24.4%的患者 (86人中21人) 患有FI.
- 吐是EN停止 (42.9%) 的最常见原因.
- 不耐受患者的年龄明显小于耐受EN患者 (平均年龄35岁对57岁).
结论:
- 在患者中,FI发生在24.4%的患者中,这些患者先前耐受了EN,这表明发生率很高.
- 超过一半的FI患者需要改变营养输送途径,有些人需要全腹腔营养.
- 识别和管理FI至关重要,以避免这种脆弱患者群体的营养不良.
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