Effects of rhubarb enema combined with intra-abdominal pressure monitoring in enteral nutrition therapy among critical patients
10.3760/cma.j.cn115682-20191031-03942
- VernacularTitle:生大黄灌肠联合腹内压监测在危重症患者肠内营养治疗中的应用效果
- Author:
Yan ZHAO
1
;
Guijuan HE
;
Xiangyan LYU
Author Information
1. 浙江中医药大学附属第二医院重症医学科，杭州 310005
- Keywords:
Enema;
Rhubarb;
Enteral nutrition;
Intra-abdominal pressure;
Critical patients
- From:
Chinese Journal of Modern Nursing
2020;26(14):1907-1911
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of rhubarb enema combined with intra-abdominal pressure (IAP) monitoring in enteral nutrition (EN) therapy among critical patients.Methods:From August 2017 to August 2018, this study selected 68 EN patients of ICU at a Class Ⅲ Grade A hospital in Hangzhou as subjects by convenience sampling. All of patients were randomly divided into experimental group and control group, 34 cases in each group. Control group carried out the EN treatment guided by IAP monitoring. On the basis, experimental group combined the rhubarb enema for 5 days. This study compared the score of Acute Physiology and Chronic Health Evaluation (APACHE) Ⅱ, IAP, incidence of feeding intolerance (FI) and feeding volume reaching the standard of patients between two groups.Results:After intervention, the score of APACHE Ⅱ of patients in experimental group was lower than that in control group with no statistical difference ( P>0.05) . The IAP of patients in experimental group was lower than that in control group with a statistical difference ( P<0.01) . The time of feeding volume reaching the standard of patients in experimental group was shorter than that in control group with a statistical difference ( P<0.01) . The incidence of FI of experimental group was lower than that in control group with a statistical difference ( P<0.05) . Conclusions:Rhubarb enema combined with IAP monitoring can reduce the IAP of critical patients, shorten the time of feeding volume reaching the standard and reduce the incidence of FI.
