Gastric retention is a common complication in individuals receiving enteral nutrition(EN)via a nasogastric tube,increasing the risk of aspiration pneumonia and causing unnecessary interruptions in nutritional support....Gastric retention is a common complication in individuals receiving enteral nutrition(EN)via a nasogastric tube,increasing the risk of aspiration pneumonia and causing unnecessary interruptions in nutritional support.Given its clinical significance,establishing effective,evidence-based,and standardized manage-ment strategies is essential for bettering patient outcomes and mitigating compli-cations.This review systematically synthesized the diagnostic criteria,assessment methods,influencing factors,management procedures,and intervention strategies for gastric retention in EN patients.Although no universal consensus exists re-garding gastric residual volume(GRV)thresholds,evidence indicates that EN can continue at high GRV levels in the absence of gastrointestinal symptoms.Bedside ultrasound emerged as a non-invasive,and precise method GRV assessment,offering potential to standardize clinical practice.Key risk factors for gastric retention include neurological disorders and EN infusion rates exceeding 100 mL/h.Effective management strategies encompass non-pharmacological inter-ventions,pharmacological agents,and traditional Chinese medicine(TCM)the-rapies.This review underscored the need for integrated,multi-modal manage-ment strategies and recommended the adoption of bedside ultrasound and stan-dardized protocols to optimize EN delivery and improve patient outcomes.Large-scale,multicenter clinical trials should be a priority for future investigation to verify the effectiveness of TCM therapies and develop personalized intervention plans for high-risk patients.展开更多
Objective: to explore the application and effect of pain management in orthopaedic trauma nursing management. Methods: from December 2019 to December 2020, 120 orthopedic trauma patients were selected to carry out the...Objective: to explore the application and effect of pain management in orthopaedic trauma nursing management. Methods: from December 2019 to December 2020, 120 orthopedic trauma patients were selected to carry out the study. They were divided into two groups according to odd and even method. The observation group and the control group were respectively treated with pain management intervention and general nursing intervention, and the outcomes of the two groups were compared. Results: the postoperative complication rate and life quality score of the observation group were better than those of the control group (P < 0.05). Conclusion: pain management intervention during orthopedic trauma treatment can reduce postoperative complications and improve the quality of life.展开更多
基金Supported by Zhejiang Province Medical and Health Technology Planning Project,No.2019332856.
文摘Gastric retention is a common complication in individuals receiving enteral nutrition(EN)via a nasogastric tube,increasing the risk of aspiration pneumonia and causing unnecessary interruptions in nutritional support.Given its clinical significance,establishing effective,evidence-based,and standardized manage-ment strategies is essential for bettering patient outcomes and mitigating compli-cations.This review systematically synthesized the diagnostic criteria,assessment methods,influencing factors,management procedures,and intervention strategies for gastric retention in EN patients.Although no universal consensus exists re-garding gastric residual volume(GRV)thresholds,evidence indicates that EN can continue at high GRV levels in the absence of gastrointestinal symptoms.Bedside ultrasound emerged as a non-invasive,and precise method GRV assessment,offering potential to standardize clinical practice.Key risk factors for gastric retention include neurological disorders and EN infusion rates exceeding 100 mL/h.Effective management strategies encompass non-pharmacological inter-ventions,pharmacological agents,and traditional Chinese medicine(TCM)the-rapies.This review underscored the need for integrated,multi-modal manage-ment strategies and recommended the adoption of bedside ultrasound and stan-dardized protocols to optimize EN delivery and improve patient outcomes.Large-scale,multicenter clinical trials should be a priority for future investigation to verify the effectiveness of TCM therapies and develop personalized intervention plans for high-risk patients.
文摘Objective: to explore the application and effect of pain management in orthopaedic trauma nursing management. Methods: from December 2019 to December 2020, 120 orthopedic trauma patients were selected to carry out the study. They were divided into two groups according to odd and even method. The observation group and the control group were respectively treated with pain management intervention and general nursing intervention, and the outcomes of the two groups were compared. Results: the postoperative complication rate and life quality score of the observation group were better than those of the control group (P < 0.05). Conclusion: pain management intervention during orthopedic trauma treatment can reduce postoperative complications and improve the quality of life.
