Effectiveness of the improved B-ultrasound method for measuring the antral section to guide enteral nutrition in patients with sepsis in a randomized controlled trial

Lan Gao ； Shangan Li ； Hao Li ； Qinyue Guo ； Jinqi Yan ； Qindong Shi

《Asia Pacific Journal of Clinical Nutrition》 30卷2期 (2021/06) Pp. 224-230

https://doi.org/10.6133/apjcn.202106_30(2).0006

摘要

Background and Objectives: This study aimed to evaluate the application of the improved B-ultrasound method (hereafter referred to as B method) for measuring the antral section to evaluate gastric motility in guiding EN for patients with sepsis. Methods and Study Design: In this single-center, non-blinded, randomized controlled trial, 64 patients with sepsis were randomly enrolled from January 2018 to December 2019. The improved B method (study group) and physicians' clinical experience (control group) were used to guide EN. The two groups patients were separated randomly both. Results: Compared with the control group, the study group had a significantly shorter EN start time, faster initial rate of EN, lower incidence of EN interruption, and shorter Tmax (p＜0.05,95% confidence intervals.) and exhibited lower incidences of adverse reactions (p＜0.05). Kaplan-Meier survival analysis demonstrated that the study group exhibited significantly fewer adverse EN complications (p=0.029), shorter MV duration, and decreased ICU stay and in-hospital mortality (p＜0.05). Conclusions: The improved B method could perform real-time monitoring of gastric function. Additionally, compared with the physician's personal clinical experience, the improved B method exhibits a better effect in guiding EN for patients with sepsis.

關鍵字

improved B method ； enteral nutrition (EN) ； sepsis ； clinical ； control group