便秘及其在危重症患者中的影响
Constipation and its implications in the critically ill patient.
作者信息
Mostafa S M, Bhandari S, Ritchie G, Gratton N, Wenstone R
机构信息
Intensive Therapy Unit, Royal Liverpool University Hospital, Prescot Street, Liverpool, L7 8XP, UK.
出版信息
Br J Anaesth. 2003 Dec;91(6):815-9. doi: 10.1093/bja/aeg275.
BACKGROUND
Motility of the lower gut has been little studied in intensive care patients.
METHOD
We prospectively studied constipation in an intensive care unit of a university hospital, and conducted a national survey to assess the generalizability of our findings.
RESULTS
Constipation occurred in 83% of the patients. More constipated patients (42.5%) failed to wean from mechanical ventilation than non-constipated patients (0%), P<0.05. The median length of stay in intensive care and the proportion of patients who failed to feed enterally were greater in constipated than non-constipated patients (10 vs 6.5 days and 27.5 vs 12.5%, respectively (NS)). The survey found similar observations in other units. Delays in weaning from mechanical ventilation and enteral feeding were reported by 28 and 48% of the units surveyed, respectively.
CONCLUSIONS
Constipation has implications for the critically ill.
背景
在重症监护患者中，下消化道的蠕动情况鲜有研究。
方法
我们在一家大学医院的重症监护病房对便秘进行了前瞻性研究，并开展了一项全国性调查以评估我们研究结果的普遍性。
结果
83%的患者出现便秘。便秘患者中未能撤机的比例（42.5%）高于非便秘患者（0%），P<0.05。便秘患者在重症监护病房的中位住院时间以及未能接受肠内营养的患者比例均高于非便秘患者（分别为10天对6.5天以及27.5%对12.5%（无统计学差异））。该调查在其他病房发现了类似的情况。分别有28%和48%的被调查病房报告存在撤机延迟和肠内营养延迟的情况。
结论
便秘对危重症患者有影响。
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