Abstract
In order to study and explore the application effect of intra-abdominal pressure monitoring in guiding ICU patients to implement early enteral nutrition therapy, we selected patients admitted to the emergency department of a hospital and classified them into groups A (n = 105) and B (n = 98). Among them, the A group gave early enteral nutrition treatment by monitoring the residual gastric mass, and the B group gave early enteral nutrition treatment by monitoring the stomach. It has been established that, compared to gastric residue monitoring, intra-abdominal pressure monitoring in ICU patients with early enteral nutrition therapy has an obvious advantage, it helps to improve the prognosis of patients, and intra-abdominal pressure combined with gastric residual monitoring scheme can effectively reduce the early enteral nutrition in the ICU patients, the incidence of abdominal distension, vomiting, and make it reach the goal as soon as possible. Early enteral nutrition in patients with increased tolerance is of great significance.
Highlights
In recent years, the application of intra-abdominal pressure (IAP) monitoring technology in China has become increasingly widespread and has become one of the important physiological parameters for clinical diagnosis, disease treatment, and prognosis judgment [1]
In order to improve the tolerance of early enteral nutrition in intensive care unit (ICU) patients, more monitoring of gastric residual volume is used to clarify the tolerance of patients with EEN; it was found in clinical work that relying on the monitoring method of gastric residual volume, there are still many patients with complications such as abdominal distension and vomiting, which makes it impossible to clarify the time of enteral nutrition adjustment and improve patient tolerance [3]
It is reported that the probability of gastrointestinal intolerance caused by intranasal nutrition is 56.3%, which seriously affects the prognosis of patients. e manifestations of gastrointestinal intolerance include gastrointestinal and metabolic complications, such as abdominal distension, diarrhea, and electrolyte disorder [5]. erefore, in order to improve the tolerance of early enteral nutrition in ICU patients, studies have shown that Carron believes that people recognize that enteral nutrition meets the physiological needs of the human body; it is of great significance to maintain the intestinal mucosal barrier function, maintain the normal structure and function of the gastrointestinal tract, and prevent intrahepatic cholestasis [6]
Summary
The application of intra-abdominal pressure (IAP) monitoring technology in China has become increasingly widespread and has become one of the important physiological parameters for clinical diagnosis, disease treatment, and prognosis judgment [1]. Studies have confirmed that early enteral nutrition (EEN) supports; it can significantly reduce the incidence of serious gastrointestinal complications and promote the recovery of patients, so EEN needs to be started as soon as possible. Erefore, in order to improve the tolerance of early enteral nutrition in ICU patients, studies have shown that Carron believes that people recognize that enteral nutrition meets the physiological needs of the human body; it is of great significance to maintain the intestinal mucosal barrier function, maintain the normal structure and function of the gastrointestinal tract, and prevent intrahepatic cholestasis [6]. Chang and other studies have confirmed that the dynamic changes of IAP are related to the body’s cardiopulmonary function and abdominal organ diseases; when IAP is continuously or repeatedly elevated, it can cause abdominal hypertension (IAH); subsequent progress may lead to abdominal compartment syndrome (ACS) characterized by increased airway pressure, hypoxemia, dyspnea, oliguria, and anuria; it causes a series of pathophysiological changes in the body, leading to multiple organ failure or obstacles and endangering the lives of patients [8]
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