Li Bing, Wang Jian-Rong, Ma Yan-Lan
Postgraduate Medical College, Beijing, China.
Clin Nurse Spec. 2012 Jan-Feb;26(1):29-34. doi: 10.1097/NUR.0b013e31823bfab8.
The aims of this study were to determine whether bowel sounds auscultation is necessary in critically ill patients and to forecast the prospect of bowel sounds as a monitoring measurement in the intensive care unit (ICU).
It has been suggested recently that bowel sounds are not an objective indicator of bowel motility and that auscultation should be abandoned. This has led to confusion as to whether bowel sounds auscultation should be continued in the ICU.
A literature review of articles about bowel sounds and monitoring gastrointestinal motility in critically ill patients was conducted.
At present, there are no more suitable indicators for bedside monitoring of bowel function and motility than bowel sounds. Although they lack objectivity, bowel sounds give a lot of useful information about gastrointestinal motility. The problems are how to improve practice and assessment standards and enhance the precision of auscultation devices.
Bowel sounds auscultation is necessary in the ICU. Effective application in critically ill patients requires reasonable practice and precise instrumentation.
本研究旨在确定重症患者是否有必要进行肠鸣音听诊，并预测肠鸣音作为重症监护病房（ICU）监测指标的前景。
最近有人提出，肠鸣音并非肠道蠕动的客观指标，听诊应予摒弃。这导致了在ICU是否应继续进行肠鸣音听诊方面的困惑。
对有关重症患者肠鸣音及监测胃肠动力的文章进行了文献综述。
目前，对于床边肠道功能和动力监测而言，没有比肠鸣音更合适的指标。尽管肠鸣音缺乏客观性，但它能提供许多有关胃肠动力的有用信息。问题在于如何改进实践和评估标准，以及提高听诊设备的精度。
在ICU进行肠鸣音听诊是必要的。在重症患者中的有效应用需要合理的实践和精确的仪器。
