腹内压监测与床旁超声监测对ICU病人早期肠内营养效果的Meta分析
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Effectofintra-abdominalpressuremonitoringandbedsideultrasoundmonitoringonearlyenteralnutritioninICUpatients：aMeta-analysis
HUFeifei，WANGFang，WANGYongni，HUANGShini，WANGZhi，MINGYao，LONGFang
SchoolofNursing，ChengduUniversityofTraditionalChineseMedicine，Sichuan610075ChinaCorrespondingAuthorWANGFang，E-mail：1697070757@qq.com
AbstractObjective：TosystematicallyevaluatetheeffectsofintraabdominalpressuremonitoringandbedsideultrasoundmonitoringofgastricresidualvolumeonearlyenteralnutritioninICUpatients.Methods：RandomizedcontrolledtrialsofearlyenteralnutritioninICUpatientsguidedbyintra-abdominalpressuremonitoringorbedsideultrasoundmonitoringofgastricresidualvolumewereretrievedfromPubMed，EMbase，theCochraneLibrary，WebofScience，CBM，CNKI，WanFangDatabase，VIP.ThesearchperiodwasuptoJanuary2024.Tworesearchersscreenedtheliteratureaccordingtoinclusionandexclusioncriteria，extracteddataandevaluatedthequalityoftheliterature.RevMan5.4，Stata17.0andITCsoftwarewereusedfortheMeta-analysis.Results：Atotalof27articleswereincluded.TheresultsofMeta-analysisshowedthatbothintra-abdominalpressuremonitoringandbedsideultrasoundmonitoringofgastricresidualvolumecouldreducetheincidenceofvomiting，abdominaldistensionanddiarrhea，improvetheserumalbuminlevelofpatients，andincreasethetargetcaloriecompliancerateofenteralnutritionfor7days.TheresultsofMeta-analysis（exceptserumalbuminlevels）ofindirectcomparisonbetweenintra-abdominalpressuremonitoringandbedsideultrasoundmonitoringofgastricresidualvolumeinearlyenteralnutritionpatientsshowednostatisticalsignificance（P>0.05）.Conclusion：Theexistingevidenceshowsthatbothintra-abdominalpressuremonitoringandbedsideultrasoundmonitoringcanimprovetheincidenceofvomiting，abdominaldistensionanddiarrhea，andincreasetheserumalbuminlevelandthetargetcaloriecompliancerateofenteralnutritionat7days，andtheeffect（exceptserumalbuminlevels）differencebetweenthetwomethodsisnotstatisticallysignificant.Clinicalpracticecanbeselectedaccordingtotheactualsituationofthedepartmentandthepatient′scondition.
Keywordsinternal-abdominalpressuremonitoring;ultrasound;criticalillness;earlyenteralnutrition;Meta-analysis;evidence-basednursing
摘要目的：系统评价腹内压监测与床旁超声监测胃残余量对重症监护室（ICU）病人早期肠内营养的应用效果。（剩余15389字）