重症监护中胃肠系统功能障碍的评估。

IF 3.4 3区医学 Q1 CRITICAL CARE MEDICINE

Current Opinion in Critical Care Pub Date : 2025-04-01 Epub Date: 2025-01-29 DOI:10.1097/MCC.0000000000001248

Kaspar F Bachmann, Varsha M Asrani, Annika Reintam Blaser

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引用次数: 0

摘要

综述目的：总结目前胃肠功能障碍评价方面的研究进展。最新发现：临床评估正变得更加结构化，但在很大程度上仍然是主观的。一些评估胃肠运动的仪器工具已经开发出来，但尚未广泛应用于临床实践。成像技术为静态（即非功能性）诊断提供了一种很好的方法，但目前还无法在床边进行标准化的动态评估。最近对生物标志物的研究还没有提供令人信服的结果来准确评估胃肠道功能。总结：临床评估仍然是评估胃肠功能障碍的主要工具。单一体征或症状不能充分反映胃肠功能障碍，可能需要一组变量。有必要研究反映胃肠运动的工具和对肠内营养物质（包括吸收）反应的生物标志物。

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Assessing gastrointestinal system dysfunction in intensive care.

Purpose of review: To summarize the current knowledge on the assessment of gastrointestinal dysfunction.

Recent findings: Clinical assessment is becoming more structured but remains largely subjective. Some instrumental tools to assess gastrointestinal motility have been developed but not yet widely applied in clinical practice. Imaging techniques offer a good method for static (i.e. nonfunctional) diagnostics but a standardized dynamic assessment at the bedside is currently unavailable. Recent studies on biomarkers have not provided convincing results for accurate evaluation of gastrointestinal function.

Summary: Clinical assessment remains the main tool for assessing gastrointestinal dysfunction. A single sign or symptom does not reflect gastrointestinal dysfunction adequately, and a set of variables might be needed. Studies on tools reflecting gastrointestinal motility and biomarkers for response to enteral nutrients, including absorption, are warranted.

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来源期刊

Current Opinion in Critical Care 医学-危重病医学

CiteScore

5.90

自引率

3.00%

发文量

172

审稿时长

6-12 weeks

期刊介绍： Current Opinion in Critical Care delivers a broad-based perspective on the most recent and most exciting developments in critical care from across the world. Published bimonthly and featuring thirteen key topics – including the respiratory system, neuroscience, trauma and infectious diseases – the journal’s renowned team of guest editors ensure a balanced, expert assessment of the recently published literature in each respective field with insightful editorials and on-the-mark invited reviews.