Effects of enteral nutrition program based on intensive ultrasound monitoring gastric residual on patients receiving lung transplantation
10.3760/cma.j.issn.1674-2907.2019.09.012
- VernacularTitle:基于重症超声监测胃残留量的肠内营养方案在肺移植患者中的应用
- Author:
Hong PAN
1
;
Yinghua CAI
;
Ke JIN
;
Zhenghong XU
;
Qinhong HUANG
Author Information
1. 江苏省无锡市人民医院心肺ICU 214023
- Keywords:
Transplantation,lung;
Ultrasound;
Enteral nutrition;
Gastric residual
- From:
Chinese Journal of Modern Nursing
2019;25(9):1113-1116
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To explore the effects of enteral nutrition program based on intensive ultrasound monitoring gastric residual on patients receiving lung transplantation. Methods? Totally 100 patients who received lung transplantation in a Class Ⅲ Grade A hospital between January and December 2016 were selected and divided into the treatment group (n=50) and the control group (n=50) according to the random number table. Patients in the treatment group received enteral nutrition based on intensive ultrasound monitoring gastric residual, while patients in the control group received conventional enteral nutrition. The indicators of enteral nutrition application and complications were observed in both groups. Results? The gastric residual of the treatment group was (130.32±40.44) ml; the nutrition interruption rate was 6%; the time for achieving the target feed volume was (3.47±0.62) d, lower than those of the control group (t/χ2=-2.341, 8.575, 2.193;P＜ 0.05), which were (198.13±40.25) ml, 28% and (5.59±0.71) d. The dripping speed of the treatment group was (87.00±10.59) ml/h, higher than that of the control group (t=6.121, P＜0.05). The incidence rate of aspiration of the treatment group was 4%, and there was no statistically significant difference compared with that of the control group (χ2=0.298; P＞0.05), which was 6%. The incidence rates of enteral nutrition reflux, diarrhea and reintubation rates of the treatment group were 10%, 10% and 8%, respectively, lower than those of the control group (33%,26%,24%) (χ2=6.250, 4.336, 4.762; P＜ 0.05) . Conclusions? The enteral nutrition program based on intensive ultrasound monitoring gastric residual conforms to target-oriented nursing care for patients receiving lung transplantation, which helps to achieve the target feed volume more quickly and ameliorate enteral nutrition-related complications.
