Investigation Of Diagnosis And Treatment Of ICU In Patients With Severe Intestinal Dysfunction

Objective There are many studies have shown that intestinal tract plays an important role in occurrence and development that systemic inflammatory reponse syndrome, sepsis and multiple organ dysfunction syndrome, intestinal tract not only is the target organ of MODS, but also a MODS start organs. How to reverse the bowel dysfunction and reasonable therapy is a clinical problem that has been plagued for many years. This study through the investigation status of EICU patients in bowel dysfunction on diagnosis and treatment, and compare with the "2009CPG" version of parenteral enteral nutrition guidelines, find out the problems and the insufficiency that EICU patients of bowel dysfunction on diagnosis and treatment, to further improve EICU medical personnel to patients cognitive and implementation ability of diagnosis and treatment of intestinal dysfunction, provide the basis for improving status of EICU patients with the diagnosis and treatment.Methods All adult patients admitted from August1,2010to August1,2011and who fulfilled the criteria either on admission or at any time during their the first affiliated hospital of Kunming medical university EICU stay were included in the study, the tool is a survey form that come from research of diagnosis and treatment of intestinal dysfunction of Intensive medical association of Chinese, collect information of doctors and patients in the form of a questionnaire, establish a database, measurement data obey the normal distribution with describe with mean and variance; don’t obey normal distribution using the median and interquartile range is described; count data application describe with cases (percentage).Resuts1、The eighty-five patients of EICU participated in the survey are bowel dysfunction; in all49cases (57.65%) of bowel dysfunction use EN support treatment within five days; twenty-one cases (24.71%) use joint application of EN and PN support treatment; fifteen cases (17.64%) use PN support treatment. On the day of bowel dysfunction forty-two cases (49.41%) use EN support treatment; twelve cases (14.12%) use joint application of EN and PN support treatment; twenty-four cases (28.24%) use EN support treatment; seven cases (8.24%) did not receive any treatment. Seventy cases use EN support treatment, of wich fifty-one cases (61.18%) raise high the bedside to30-45degrees; fifty-nine cases (69.41%) treated with glutamine; twenty-six cases (30.59%) did not treated with glutamine.Conclusions EICU doctor have different points of view in bowel dysfunction and Nutritional support; At present, critically ill patients early EN feeding deficiencies in nutrition support treatment, need to strengthen management and standardization of the nutrition support; System training, strengthen medical personnel to EICU bowel dysfunction in patients with diagnosis and treatment, nutritional support, attention and implementation capacity is very urgent.