Đánh giá dịch tồn dư dạ dày ở người bệnh nuôi dưỡng qua ống thông điều trị tại khoa hồi sức tích cực - chống độc Bệnh viện Đa khoa Xanh Pôn=Evaluation of gastric residual volume inpatient use tube feeding treatment at intensive care – poison control department, Saint Paul Hospital

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Hoài Thương Lê, Văn Lượng Lê, Đăng Hưng Nguyễn, Thị Hương Lan Nguyễn, Thị Thu Huyền Nguyễn, Minh Anh Trần, Thị Hà Vũ

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Y học cộng đồng, 2023

Mô tả vật lý: tr.45665

Bộ sưu tập: Metadata

ID: 477481

Thêm vào giỏ

Đánh giá đặc điểm dịch tồn dư dạ dày (Gastric Residual Volume - GRV) và mô tả một số yếu tố liên quan giữa dịch tồn dư với đặc điểm lâm sàng của người bệnh. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang trên 152 người bệnh nuôi dưỡng qua ống thông điều trị tại khoa Hồi sức tích cực - Chống độc từ tháng 4/2023 đến tháng 8/2023. Theo dõi đặc điểm dịch tồn dư trong 3 ngày đầu nuôi dưỡng như thể tích, màu sắc, số lần xuất hiện dịch tồn dư lớn và đặc điểm nuôi dưỡng. Ngưỡng xác định GRV cao là >
200mL/lần đo. Kết quả: Tỷ lệ người bệnh có GRV cao trong 1 lần đo của 1 người bệnh theo dõi trong 3 ngày đầu nuôi dưỡng là 17,8%. GRV cao không làm tăng nguy cơ tử vong của người bệnh với OR=2,14
KTC 95% 0,7-6,7. Phân tích hồi quy đơn biến cho thấy các yếu tố như giới tính nữ, viêm phổi, thở máy, sốc nhiễm khuẩn, bơm ăn bằng xilanh đều là các yếu tố liên quan đến nguy cơ xảy ra dịch tồn dư cao ở người bệnh với giá trị p<
0,05. Kết luận: Dịch tồn dư cao không phải là yếu tố nguy cơ tử vong của người bệnh nuôi dưỡng qua ống thông. Nhưng viêm phổi, thở máy, sốc nhiễm khuẩn, bơm ăn bằng xilanh đều là các yếu tố liên quan đến nguy cơ xảy ra dịch tồn dư cao ở người bệnh.Evaluate the characteristics of gastric residual volume (GRV) and describe some factors related to GRV and the patient’s clinical characteristics Subject and method: Cross-sectional descriptive study on 152 patients using feeding-tube treatment at the Intensive Care - Poison Control Department from April 2023 to August 2023. Monitor gastric residual characteristics during the first 3 days of feeding tube such as volume, color and number of times large GRV appears, and evaluate feeding characteristics. The threshold for determining high GRV is >
200mL/measurement. Results: The proportion of patients with high GRV in 1 measurement of 1 patient monitored during the first 3 days of tube-feeding was 17.8%. High GRV does not increase the patient’s risk of death with OR =2,14
95%CI: 0,7-6,7. Univariate regression analysis shows that factors such as female gender, pneumonia, mechanical ventilation, septic shock, and syringe feeding are all factors related to the risk of high GRV occurrence in patients with p-value <
0.05 is statistically significant. Conclusion: High GRV is not a risk factor for death in tube-feeding patients. However, pneumonia, mechanical ventilation, septic shock, and syringe feeding are all factors associated with a high risk of larger GRV in patients.

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