Govil Deepak, Pal Divya
Institute of Critical Care and Anesthesia, Medanta-The Medicity, Gurugram, Haryana, India.
Department of Critical Care Medicine, Medanta-The Medicity, Gurugram, Haryana, India.
Indian J Crit Care Med. 2020 Sep;24(Suppl 4):S179-S182. doi: 10.5005/jp-journals-10071-23614.
Gastrointestinal (GI) motility disorders are a common problem in the intensive care unit (ICU) and are associated with increased morbidity, complications like feeding intolerance, malnutrition, bacterial translocation, sepsis, multiple organ failure, prolonged hospital stay and increased risk of mortality. Several risk factors in intensive care setting that contribute to GI dysmotility include mechanical ventilation, vasopressor support, use of opioids, etc. Degree of GI motility dysfunction correlates with severity of critical illness. So, it is important to identify the dysfunction early so that targeted therapy could be prescribed to prevent worsening of clinical outcomes. Govil D, Pal D. Gastrointestinal Motility Disorders in Critically Ill. Indian J Crit Care Med 2020;24(Suppl 4):S179-S182.
胃肠道动力障碍是重症监护病房（ICU）中的常见问题，与发病率增加、喂养不耐受、营养不良、细菌易位、败血症、多器官功能衰竭、住院时间延长以及死亡风险增加等并发症相关。重症监护环境中导致胃肠动力障碍的几个风险因素包括机械通气、血管活性药物支持、阿片类药物的使用等。胃肠动力功能障碍的程度与危重病的严重程度相关。因此，早期识别功能障碍很重要，以便能够开出针对性的治疗方案，防止临床结果恶化。Govil D，Pal D。危重症患者的胃肠道动力障碍。《印度重症监护医学杂志》2020年；24（增刊4）：S179 - S182。
