摘要
目的探索胃黏膜二氧化碳分压(P iCO2)监测对创伤性休克患者进行肠内营养(EN)支持的价值。方法把96例临床诊断为创伤性休克的患者随机分成两组。治疗组根据P iCO2指标接近正常及临床症状、组织氧合情况进行EN支持;对照组在休克纠正早期(即血压恢复时)就给予EN支持。对两组患者原发疾病的恢复情况、胃肠道症状、监测指标、并发症等进行比较。结果两组治疗后,急性生理学与慢性健康状况评分系统Ⅱ(APACHEⅡ)评分均不断减少;5 d后治疗组减少程度明显小于对照组(P<0.01)。与对照组相比,治疗组治愈率明显升高(91.3%比75.0%,P<0.01);住院时间明显短于对照组〔(6.0±1.8)d比(7.5±2.3)d,P<0.01〕。结论创伤性休克时选择合适的EN时机,对肠道功能保护、促进肠道功能恢复、提高抢救成功率具有重要作用。
Objective To explore the value of monitoring CO2 partial pressure of gastric mucosa （PiCO2） in patients with traumatic shock under enteral nutrition （EN） support. Methods Ninety-six patients who were clinically diagnosed as having traumatic shock were randomly divided into two groups： the test group and the control group. In the test group, EN was given after tissue oxygenation, indicated by the value of PiCO2, approached normal and the clinical symptoms ameliorated. In control group EN was given at the early stage of recovery from shock. The course of convalescence of the primary disease, gastro-intestinal symptoms, the monitoring indexes, and the complications etc. were compared between the two groups. Results Acute physiology and chronic health evaluation Ⅱ （APACHE Ⅱ ） scores were both gradually lowered in both groups. It was more significant in the control group than that in the test group 5 days later （both P〈0. 01）. Compared with the control group, the cure rate in the test group was increased obviously （91.3% vs. 75.0%, P〈0.01）, and the hospital stay days were significantly less [（6.0±1.8） days vs. （7.5±2.3） days, P（0.01]. Conclusion It is very important to choose the suitable time to give EN support in patients with traumatic shock, for it can protect and promote the recovery of the function of their intestinal tract, raise the survival rate.
出处
《中国危重病急救医学》
CAS
CSCD
北大核心
2006年第10期623-625,共3页
Chinese Critical Care Medicine
关键词
休克
创伤性
肠内营养
胃黏膜二氧化碳分压
时机
traumatic shock
enteral nutrition
CO2 partial pressure of gastric mucosa
time
