Application of ultrasonic monitoring of gastric residual volume in enteral nutrition of critically ill patients: a Meta-analysis
10.3760/cma.j.cn115682-20200803-04712
- VernacularTitle:超声监测胃残余量在重症患者肠内营养中应用的Meta分析
- Author:
Aiping FENG
1
;
Mingxi ZHAO
;
Jianhua SUN
;
Qi LI
Author Information
1. 中国医学科学院 北京协和医院保健医疗部 100730
- Keywords:
Ultrasonography;
Meta-analysis;
Gastric residual volume;
Enteral nutrition;
Critically ill;
Complication
- From:
Chinese Journal of Modern Nursing
2021;27(8):1046-1052
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To provide evidence for guiding enteral nutrition programs for critically ill patients by evaluating the application effect of ultrasonic monitoring gastric residual volume.Methods:CNKI, China Biology Medicine disc, Wanfang, VIP, Chinese Clinical Trial Registry, PubMed, Embase, Cochrane Library, ClinicalTrials.gov and other databases were systematically searched to collect randomized controlled trails (RCTs) of application of ultrasonic monitoring of gastric residual volume in enteral nutrition of critically ill patients. The search time limit was from the establishment of the database to December 31, 2019. Two researchers independently searched literature, screened literature, extracted data and evaluated the quality of the literature. RevMan 5.3 software was used for Meta-analysis.Results:A total of 10 articles were included, involving 897 patients. Compared with the syringe withdrawal method, ultrasonic monitoring of gastric residual volume could reduce the incidence of reflux or vomiting [ RR=0.53, 95% CI (0.38-0.75) ] and the incidence of aspiration [ RR=0.48, 95% CI (0.30-0.77) ], increase albumin level [ MD=1.53, 95% CI (0.71-2.35) ] and reduce operating time of nurses [ MD=-5.62, 95% CI (-7.59--3.65) ], and the combined effects were statistically significant ( P<0.05) . However, the incidence of diarrhea [ RR=0.77, 95% CI (0.53-1.11) ] and in-hospital mortality [ RR=0.73, 95% CI (0.41-1.28) ] were not changed, and the combined effects were not statistically significant ( P>0.05) . Conclusions:Ultrasonic monitoring of gastric residual volume in enteral nutrition of critically ill patients may be helpful to reduce the incidence of complications and improve the nutritional status of patients.
