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在接受机械通风的成年患者中肠道食不耐受:综合性审查
Annette M Bourgault1, Jennifer Carroll Simmons2, Jan Powers3
1Annette M. Bourgault is an associate professor, University of Central Florida, College of Nursing, Orlando, Florida, and the Editor in Chief of Critical Care Nurse.
Critical care nurse
|January 31, 2026
概括
机械通风的成年人中肠道食不耐受是常见的,并通过胃肠道功能障碍来确定. 护士的早期评估和管理对于预防营养不良和改善患者结果至关重要.
科学领域:
- 关键护理医学 关键护理医学
- 胃肠病学 胃肠病学
- 护理实践的护理实践
背景情况:
- 肠道食不耐症是机械通风成年人常见的胃肠道功能障碍.
- 定义和评估的变化使诊断和管理变得复杂.
- 未经治疗的不耐受性会导致营养不良和患者不良后果.
研究的目的:
- 审查有关肠道食不耐受症的当前知识.
- 识别风险人群,临床症状,诊断方法和治疗方法.
- 讨论对护理实践的影响.
主要方法:
- 文献综述和综合有关肠道食不耐症的现有数据.
- 对诊断标准,症状和管理策略的分析.
- 检查对护理的临床影响.
主要成果:
- 肠道食不耐症的特点是胃肠道功能发生变化,胃残留体积高或营养供应不足.
- 诊断通常将胃肠道症状 (如吐,膨胀,腹) 与高胃残留体积相结合.
- 促销代理和降低配方费率是常见的干预措施.
结论:
- 许多当前的评估结果是主观的;需要客观的生物标志物.
- 常规胃残留体积测量并不总是适合的,但对于高危患者来说是有用的.
- 护士需要对评估,治疗和区分其他胃肠道并发症的教育.
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