重症监护病房中的胃轻瘫。
Gastroparesis in the intensive care unit.
机构信息
Department of Gastroenterology and Hepatology, Medical University of Gdansk, Poland.
Department of Anaesthesiology and Intensive Therapy, Medical University of Gdansk, Poland.
出版信息
Anaesthesiol Intensive Ther. 2021;53(5):450-455. doi: 10.5114/ait.2021.110959.
Abstract
Gastroparesis is a common problem in the intensive care unit. Impaired gastric motility in critically ill patients is associated with an increased risk of enteral feeding intolerance, gastric bacterial colonization, pulmonary aspiration and progressive malnutrition leading to adverse outcomes. It is estimated that at least 60% of intensive care patients are affected by some form of gastrointestinal tract failure and that in 30% of critically ill patients in whom enteral feeding is attempted the feeding route needs to be modified because of feeding intolerance. The article highlights the physiology of normal gastric motor function and mechanisms of abnormal gastric motility as well as the current approach to detecting and treating feeding intolerance in intensive care.
摘要
胃轻瘫是重症监护病房的常见问题。危重病患者胃动力受损与肠内喂养不耐受、胃细菌定植、肺吸入和进行性营养不良导致不良结局的风险增加有关。据估计，至少有 60%的重症监护患者受到某种形式的胃肠道衰竭的影响，在 30%试图进行肠内喂养的危重病患者中，由于喂养不耐受，需要改变喂养途径。本文重点介绍了正常胃动力功能的生理学和异常胃动力的机制，以及目前在重症监护中检测和治疗喂养不耐受的方法。
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