Enteral nutrition can improve patient’s nutritional status, reduce the incidence of complications, and promote the patient’s rehabilitation. For patients with stroke, enteral nutrition is the first choice for nutritional support. Nurses not only participate but also play important roles in the whole process of nutrition management in stroke. Therefore, standardizing the nursing practice in enteral nutrition and developing nursing guideline in line with Chinese clinical practice is of great significance. In the guideline, 18 key clinical questions had been established via the Delphi method, and for each question, detailed recommendations had been constructed. It is expected to provide clinical standards for enteral nutrition in patients with stroke, and to improve the nutritional management and disease prognosis of stroke patients.
Citation: Evidence-based Nursing Center, West China Hospital, Sichuan University, Nursing Management Professional Committee of Chinese Nursing Association, Chinese Neurosurgical Society, Chinese Medical Association. Nursing practice guideline for enteral nutrition in patients with stroke. Chinese Journal of Evidence-Based Medicine, 2021, 21(6): 628-641. doi: 10.7507/1672-2531.202101115 Copy
Copyright ? the editorial department of Chinese Journal of Evidence-Based Medicine of West China Medical Publisher. All rights reserved
| 1. | 《中國腦卒中防治報告》編寫組. 《中國腦卒中防治報告2019》概要. 中國腦血管病雜志, 2020, 17(5): 272-281. | 
| 2. | Feigin VL, Norrving B, Mensah GA. Global burden of stroke. Circ Res, 2017, 120(3): 439-448. | 
| 3. | Sabbouh T, Torbey MT. Malnutrition in stroke patients: risk factors, assessment, and management. Neurocrit Care, 2018, 29(3): 374-384. | 
| 4. | 陳忠蘭, 谷波, 王聰, 等. 從循證醫學到循證科學: 護理的探索. 中國循證醫學雜志, 2019, 19(12): 114-119. | 
| 5. | 楊克虎, 譯. 世界衛生組織. 世界衛生組織指南制訂手冊. 蘭州: 蘭州大學出版社, 2013. | 
| 6. | Holger JS, Wojtek W, Itziar E, 等. 指南2.0: 為成功制訂指南而系統研發的全面清單. 中國循證醫學雜志, 2014, 14(9): 1135-1149. | 
| 7. | Guyatt G, Oxman AD, Akl EA, et al. GRADE guidelines: 1. Introduction-GRADE evidence profiles and summary of findings tables. J Clin Epidemiol, 2011, 64(4): 383-394. | 
| 8. | Brouwers MC, Kho ME, Browman GP, et al. AGREE II: advancing guideline development, reporting and evaluation in health care. CMAJ, 2010, 182(18): E839-842. | 
| 9. | 陳耀龍. 衛生保健實踐指南的報告規范研究. 蘭州: 蘭州大學, 2015. | 
| 10. | Shea BJ, Reeves BC, Wells G, et al. AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both. BMJ, 2017, 358: j4008. | 
| 11. | Higgins JP, Altman DG, G?tzsche PC, et al. The Cochrane Collaboration's tool for assessing risk of bias in randomised trials. BMJ, 2011, 343: d5928. | 
| 12. | Stang A. Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses. Eur J Epidemiol, 2010, 25(9): 603-605. | 
| 13. | Whiting PF, Rutjes AW, Westwood ME, et al. QUADAS-2: a revised tool for the quality assessment of diagnostic accuracy studies. Ann Intern Med, 2011, 155(8): 529-536. | 
| 14. | Guyatt GH, Alonso-Coello P, Schünemann HJ, et al. Guideline panels should seldom make good practice statements: guidance from the GRADE Working Group. J Clin Epidemiol, 2016, 80: 3-7. | 
| 15. | Markle-Reid M, Orridge C, Weir R, et al. Interprofessional stroke rehabilitation for stroke survivors using home care. Can J Neurol Sci, 2011, 38(2): 317-334. | 
| 16. | Middleton S, McElduff P, Ward J, et al. Implementation of evidence-based treatment protocols to manage fever, hyperglycaemia, and swallowing dysfunction in acute stroke (QASC): a cluster randomised controlled trial. Lancet, 2011, 378(9804): 1699-1706. | 
| 17. | 陳少玲, 葉莉, 潘月會, 等. 卒中小組管理模式對腦卒中偏癱病人的影響. 護理研究, 2012, 26(10): 877-879. | 
| 18. | 高金玲, 呂桂玲, 宋劍, 等. 多學科管理小組早期干預對腦卒中后攝食-吞咽障礙功能恢復的療效觀察. 河北醫藥, 2012, 34(7): 1097-1098. | 
| 19. | 張俊梅. 聯合營養管理對重癥腦卒中患者營養狀況和近期并發癥的影響. 中國實用神經疾病雜志, 2017, 20(13): 23-26. | 
| 20. | 周海晏, 吳立新, 汪苗, 等. 多學科合作連續康復護理對腦卒中偏癱患者生存質量的影響. 安徽醫藥, 2018, 22(8): 1625-1627. | 
| 21. | Skipper A, Coltman A, Tomesko J, et al. Adult malnutrition (undernutrition) screening: an evidence analysis center systematic review. J Acad Nutr Diet, 2020, 120(4): 669-708. | 
| 22. | 張敏, 郝艷青, 孫錚. 歐洲營養風險篩查2002與微型營養評價法在腦卒中吞咽障礙患者營養狀況評價中的應用. 中華現代護理雜志, 2013, 19(7): 764-767. | 
| 23. | Wang J, Luo B, Xie Y, et al. Evaluation methods on the nutritional status of stroke patients. Eur Rev Med Pharmacol Sci, 2014, 18(24): 3902-3907. | 
| 24. | Zhao NN, Zeng KX, Wang YL, et al. Research on the nutrition and cognition of high-risk stroke groups in community and the relevant factors. Eur Rev Med Pharmacol Sci, 2017, 21(23): 5408-5414. | 
| 25. | Daniels SK, Brailey K, Priestly DH, et al. Aspiration in patients with acute stroke. Arch Phys Med Rehabil, 1998, 79(1): 14-19. | 
| 26. | Smithard DG, O'Neill PA, Park C, et al. Can bedside assessment reliably exclude aspiration following acute stroke? Age Ageing, 1998, 27(2): 99-106. | 
| 27. | Smith HA, Lee SH, O'Neill PA, et al. The combination of bedside swallowing assessment and oxygen saturation monitoring of swallowing in acute stroke: a safe and humane screening tool. Age Ageing, 2000, 29(6): 495-499. | 
| 28. | Lim SH, Lieu PK, Phua SY, et al. Accuracy of bedside clinical methods compared with fiberoptic endoscopic examination of swallowing (FEES) in determining the risk of aspiration in acute stroke patients. Dysphagia, 2001, 16(1): 1-6. | 
| 29. | Leder SB, Espinosa JF. Aspiration risk after acute stroke: comparison of clinical examination and fiberoptic endoscopic evaluation of swallowing. Dysphagia, 2002, 17(3): 214-218. | 
| 30. | McCullough GH, Rosenbek JC, Wertz RT, et al. Utility of clinical swallowing examination measures for detecting aspiration post-stroke. J Speech Lang Hear Res, 2005, 48(6): 1280-1293. | 
| 31. | Ramsey DJ, Smithard DG, Kalra L. Can pulse oximetry or a bedside swallowing assessment be used to detect aspiration after stroke? Stroke, 2006, 37(12): 2984-2988. | 
| 32. | Trapl M, Enderle P, Nowotny M, et al. Dysphagia bedside screening for acute-stroke patients: the Gugging Swallowing Screen. Stroke, 2007, 38(11): 2948-2952. | 
| 33. | Martino R, Silver F, Teasell R, et al. The Toronto bedside swallowing screening test (TOR-BSST): development and validation of a dysphagia screening tool for patients with stroke. Stroke, 2009, 40(2): 555-561. | 
| 34. | Turner-Lawrence DE, Peebles M, Price MF, et al. A feasibility study of the sensitivity of emergency physician dysphagia screening in acute stroke patients. Ann Emerg Med, 2009, 54(3): 344-348. | 
| 35. | Edmiaston J, Connor LT, Steger-May K, et al. A simple bedside stroke dysphagia screen, validated against videofluoroscopy, detects dysphagia and aspiration with high sensitivity. J Stroke Cerebrovasc Dis, 2014, 23(4): 712-716. | 
| 36. | Leigh JH, Lim JY, Han MK, et al. A prospective comparison between bedside swallowing screening test and videofluoroscopic swallowing study in post-stroke dysphagia. Brain Neurorehabilit, 2016, 9(2): 1-10. | 
| 37. | Toscano M, Viganò A, Rea A, et al. Sapienza global bedside evaluation of swallowing after Stroke: the GLOBE-3S study. Eur J Neurol, 2019, 26(4): 596-602. | 
| 38. | Gomes F, Hookway C, Weekes CE, et al. Royal college of physicians intercollegiate stroke working party evidence-based guidelines for the nutritional support of patients who have had a stroke. J Hum Nutr Diet, 2014, 27(2): 107-121. | 
| 39. | Burgos R, Bretón I, Cereda E, et al. ESPEN guideline clinical nutrition in neurology. Clin Nutr, 2018, 37(1): 354-396. | 
| 40. | Powers WJ, Rabinstein AA, Ackerson T, et al. 2018 guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, 2018, 49(3): e46-e110.46-110. | 
| 41. | Ciocon JO, Galindo-Ciocon DJ, Tiessen C, et al. Continuous compared with intermittent tube feeding in the elderly. JPEN J Parenter Enteral Nutr, 1992, 16(6): 525-528. | 
| 42. | Serpa LF, Kimura M, Faintuch J, et al. Effects of continuous versus bolus infusion of enteral nutrition in critical patients. Rev Hosp Clin Fac Med Sao Paulo, 2003, 58(1): 9-14. | 
| 43. | MacLeod JB, Lefton J, Houghton D, et al. Prospective randomized control trial of intermittent versus continuous gastric feeds for critically ill trauma patients. J Trauma, 2007, 63(1): 57-61. | 
| 44. | 張玉蘭. 兩種鼻飼腸內營養法治療重型顱腦損傷患者并發癥的比較觀察. 安徽醫學, 2009, 30(9): 1105-1106. | 
| 45. | Lee JS, Kwok T, Chui PY, et al. Can continuous pump feeding reduce the incidence of pneumonia in nasogastric tube-fed patients? A randomized controlled trial. Clin Nutr, 2010, 29(4): 453-458. | 
| 46. | 張秀蘭, 張麗英, 許偉芳. 不同鼻飼法預防吸入性肺炎發生的效果觀察. 腸外與腸內營養, 2010, 17(4): 253-254. | 
| 47. | Maurya I, Pawar M, Garg R, et al. Comparison of respiratory quotient and resting energy expenditure in two regimens of enteral feeding - continuous vs. intermittent in head-injured critically ill patients. Saudi J Anaesth, 2011, 5(2): 195-201. | 
| 48. | 方萍, 岳明, 霍佳佳, 等. 老年卒中患者不同鼻飼方式及間隔時間的研究. 護士進修雜志, 2011, 26(23): 2158-2159. | 
| 49. | 劉旺梅, 陳華英. 營養泵在危重癥患者中的應用. 中國實用醫藥, 2011, 06(36): 191-193. | 
| 50. | 汪遠碧, 蔡斌. 泵輸注法和傳統推注法對腦卒中患者腸內營養支持相關并發癥影響的比較. 中華臨床營養雜志, 2011, 19(1): 19-21. | 
| 51. | 胡亮華. 腸內營養泵用于預防呼吸機相關性肺炎的臨床觀察. 實用臨床醫學, 2012, 13(10): 53-54. | 
| 52. | 黃瑞英, 朱小燕, 王妤. 持續泵入鼻飼與間歇鼻飼兩種方法并發癥的觀察. 廣東醫學, 2012, 33(10): 1524-1525. | 
| 53. | 柳繼, 談莉君, 桑征, 等. 腸內營養不同灌注方式的效果評價. 上海護理, 2012, 12(4): 44-45. | 
| 54. | 王燕翔. 腸內營養泵在腦卒中患者中的應用. 內蒙古中醫藥, 2012, 31(7): 57. | 
| 55. | 范雪梅. 腸內營養泵與注射器推注法行鼻飼腸內營養應用的比較. 福建醫藥雜志, 2013, 35(2): 167-168. | 
| 56. | 趙羅亞, 沈美珠. 老年卒中患者鼻飼應用營養泵對卒中相關性肺炎發生的影響分析. 臨床肺科雜志, 2016, 21(4): 712-714. | 
| 57. | Nasiri M, Farsi Z, Ahangari M, et al. Comparison of intermittent and bolus enteral feeding methods on enteral feeding intolerance of patients with sepsis: a triple-blind controlled trial in intensive care units. Middle East J Dig Dis, 2017, 9(4): 218-227. | 
| 58. | 馬晨, 李力, 李雯, 等. 基于喂養泵的持續性與間斷性腸內喂養對腦卒中患者營養達標率的影響. 中華臨床營養雜志, 2017, 25(3): 153-158. | 
| 59. | 臧麗麗, 時敏秀, 宮兵兵, 等. 腦卒中急性胃腸功能輕度障礙患者間斷腸內營養研究. 護理學雜志, 2018, 33(16): 45-46, 51. | 
| 60. | Sang M, Huang YQ, Jin CD. Heating infusion for gastrointestinal complications in patients with enteral nutrition: a meta-analysis. Medical Data Mining, 2019, 2(1): 22-30. | 
| 61. | Uysal N, E?er ?, Akpinar H. The effect of abdominal massage on gastric residual volume: a randomized controlled trial. Gastroenterol Nurs, 2012, 35(2): 117-123. | 
| 62. | 葛爭紅, 陸桂銀, 高丹鳳. 腹部按摩對昏迷患者腸內營養后胃潴留的影響. 廣東醫學, 2013, 34(15): 2431-2433. | 
| 63. | 呂紅利, 倪元紅, 胡林峰, 等. 腹部按摩對行腸內營養危重癥患者胃潴留量的影響. 解放軍護理雜志, 2014, (18): 26-28. | 
| 64. | Kahraman BB, Ozdemir L. The impact of abdominal massage administered to intubated and enterally fed patients on the development of ventilator-associated pneumonia: a randomized controlled study. Int J Nurs Stud, 2015, 52(2): 519-524. | 
| 65. | 周貝貝, 楊金麗, 袁義厘, 等. 腹部按摩對留置鼻腸管的重癥顱腦損傷病人胃腸功能恢復的影響. 全科護理, 2016, 14(11): 1112-1113. | 
| 66. | UysalNurcan. The effect of abdominal massage administered by caregivers on gastric complications occurring in patients intermittent enteral feeding - a randomized controlled trial. Eur J Integr Med, 2017, 10: 75-81. | 
| 67. | 黃萍. 腸內營養患者應用腹部按摩護理的臨床意義. 現代消化及介入診療, 2017, 22(4): 574-576. | 
| 68. | 林艷萍, 林蘭, 連小勤, 等. 生物陶瓷對危重患者腸內營養期間胃腸道并發癥的效果研究. 齊齊哈爾醫學院學報, 2016, 37(14): 1868-1870. | 
| 69. | 霍蕊, 陳敏, 朱瑩瑩. 體位與床上活動干預在胃癌患者術后行腸內營養中的應用. 包頭醫學院學報, 2018, 34(3): 98-99, 106. | 
| 70. | 鹿振輝. 腸內營養過程中測定胃殘余量的意義. 中華現代護理雜志, 2009, 15(1): 39-40. | 
| 71. | Poulard F, Dimet J, Martin-Lefevre L, et al. Impact of not measuring residual gastric volume in mechanically ventilated patients receiving early enteral feeding: a prospective before-after study. JPEN J Parenter Enteral Nutr, 2010, 34(2): 125-130. | 
| 72. | 陳玉琴, 陳靖, 王大慶, 等. 胃殘留量監測對重癥患者腸內營養并發癥的效果觀察. 國際護理學雜志, 2010, 29(7): 975-977. | 
| 73. | Reignier J, Mercier E, Le Gouge A, et al. Effect of not monitoring residual gastric volume on risk of ventilator-associated pneumonia in adults receiving mechanical ventilation and early enteral feeding: a randomized controlled trial. JAMA, 2013, 309(3): 249-256. | 
| 74. | 樂碧芳, 閭小慧, 劉偉香, 等. 胃殘余量測定對預防腦梗死患者吸入性肺炎的效果評價. 國際護理學雜志, 2013, 32(5): 915-917. | 
| 75. | Williams TA, Leslie G, Mills L, et al. Frequency of aspirating gastric tubes for patients receiving enteral nutrition in the ICU: a randomized controlled trial. JPEN J Parenter Enteral Nutr, 2014, 38(7): 809-816. | 
| 76. | 吳艷春, 趙妤嵐, 李曉霞, 等. 胃殘留量監測在危重患者腸內營養中的應用. 國際護理學雜志, 2014, (8): 2080-2081. | 
| 77. | Chen S, Xian W, Cheng S, et al. Risk of regurgitation and aspiration in patients infused with different volumes of enteral nutrition. Asia Pac J Clin Nutr, 2015, 24(2): 212-218. | 
| 78. | Ozen N, Tosun N, Yamanel L, et al. Evaluation of the effect on patient parameters of not monitoring gastric residual volume in intensive care patients on a mechanical ventilator receiving enteral feeding: A randomized clinical trial. J Crit Care, 2016, 33: 137-144. | 
| 79. | Tume LN, Bickerdike A, Latten L, et al. Routine gastric residual volume measurement and energy target achievement in the PICU: a comparison study. Eur J Pediatr, 2017, 176(12): 1637-1644. | 
| 80. | Wiese AN, Rogers MJ, Way M, et al. The impact of removing gastric residual volume monitoring and enteral nutrition rate titration in adults receiving mechanical ventilation. Aust Crit Care, 2020, 33(2): 155-161. | 
| 81. | 鄧巖軍, 吳雪梅, 謝紅, 等. 超聲測定胃排空功能指導重癥機械通氣患者腸內營養的臨床應用. 中華老年多器官疾病雜志, 2016, 15(7): 533-536. | 
| 82. | 曹嵐, 葉向紅, 李君, 等. 床旁超聲監測胃殘余量在神經外科重癥患者腸內營養中的應用. 中華醫學雜志, 2017, 97(9): 675-678. | 
| 83. | 潘靈愛, 黃曉波, 王藝萍. 超聲監測胃殘余量在風心病合并惡液質病人術后腸內營養中的應用. 腸外與腸內營養, 2018, 25(1): 43-45, 51. | 
| 84. | Pinilla JC, Samphire J, Arnold C, et al. Comparison of gastrointestinal tolerance to two enteral feeding protocols in critically ill patients: a prospective, randomized controlled trial. JPEN J Parenter Enteral Nutr, 2001, 25(2): 81-86. | 
| 85. | Montejo JC, Mi?ambres E, Bordejé L, et al. Gastric residual volume during enteral nutrition in ICU patients: the REGANE study. Intensive Care Med, 2010, 36(8): 1386-1393. | 
| 86. | 郭敏, 黃妮娜, 王慶云, 等. 不同胃殘余量對重癥患者腸內營養的影響. 齊魯護理雜志, 2015, (15): 100-101. | 
| 87. | 殷俊, 曹嵐, 周思敏, 等. 兩種胃殘余量監測方案在重癥患者胃腸內營養支持中的臨床效果分析. 世界最新醫學信息文摘, 2018, 18(48): 24-25. | 
| 88. | Metheny N, Reed L, Wiersema L, et al. Effectiveness of pH measurements in predicting feeding tube placement: an update. Nurs Res, 1993, 42(6): 324-331. | 
| 89. | D'Souza CR, Kilam SA, D'Souza U, et al. Pulmonary complications of feeding tubes: a new technique of insertion and monitoring malposition. Can J Surg, 1994, 37(5): 404-408. | 
| 90. | Welch SK, Hanlon MD, Waits M, et al. Comparison of four bedside indicators used to predict duodenal feeding tube placement with radiography. JPEN J Parenter Enteral Nutr, 1994, 18(6): 525-530. | 
| 91. | Neumann MJ, Meyer CT, Dutton JL, et al. Hold that x-ray: aspirate pH and auscultation prove enteral tube placement. J Clin Gastroenterol, 1995, 20(4): 293-295. | 
| 92. | Thomas BW, Falcone RE. Confirmation of nasogastric tube placement by colorimetric indicator detection of carbon dioxide: a preliminary report. J Am Coll Nutr, 1998, 17(2): 195-197. | 
| 93. | Metheny NA, Stewart BJ, Smith L, et al. pH and concentration of bilirubin in feeding tube aspirates as predictors of tube placement. Nurs Res, 1999, 48(4): 189-197. | 
| 94. | Metheny NA, Smith L, Stewart BJ. Development of a reliable and valid bedside test for bilirubin and its utility for improving prediction of feeding tube location. Nurs Res, 2000, 49(6): 302-309. | 
| 95. | Burns SM, Carpenter R, Truwit JD. Report on the development of a procedure to prevent placement of feeding tubes into the lungs using end-tidal CO2 measurements. Crit Care Med, 2001, 29(5): 936-939. | 
| 96. | Kindopp AS, Drover JW, Heyland DK. Capnography confirms correct feeding tube placement in intensive care unit patients. Can J Anaesth, 2001, 48(7): 705-710. | 
| 97. | Araujo-Preza CE, Melhado ME, Gutierrez FJ, et al. Use of capnometry to verify feeding tube placement. Crit Care Med, 2002, 30(10): 2255-2259. | 
| 98. | Metheny NA, Stewart BJ. Testing feeding tube placement during continuous tube feedings. Appl Nurs Res, 2002, 15(4): 254-258. | 
| 99. | Phang JS, Marsh WA, Barlows TG, et al. Determining feeding tube location by gastric and intestinal pH values. Nutr Clin Pract, 2004, 19(6): 640-644. | 
| 100. | Howes DW, Shelley ES, Pickett W. Colorimetric carbon dioxide detector to determine accidental tracheal feeding tube placement. Can J Anaesth, 2005, 52(4): 428-432. | 
| 101. | Vigneau C, Baudel JL, Guidet B, et al. Sonography as an alternative to radiography for nasogastric feeding tube location. Intensive Care Med, 2005, 31(11): 1570-1572. | 
| 102. | Gubler C, Bauerfeind P, Vavricka SR, et al. Bedside sonographic control for positioning enteral feeding tubes: a controlled study in intensive care unit patients. Endoscopy, 2006, 38(12): 1256-1260. | 
| 103. | Elpern EH, Killeen K, Talla E, et al. Capnometry and air insufflation for assessing initial placement of gastric tubes. Am J Crit Care, 2007, 16(6): 544-549. | 
| 104. | Munera-Seeley V, Ochoa JB, Brown N, et al. Use of a colorimetric carbon dioxide sensor for nasoenteric feeding tube placement in critical care patients compared with clinical methods and radiography. Nutr Clin Pract, 2008, 23(3): 318-321. | 
| 105. | Meyer P, Henry M, Maury E, et al. Colorimetric capnography to ensure correct nasogastric tube position. J Crit Care, 2009, 24(2): 231-235. | 
| 106. | Turgay AS, Khorshid L. Effectiveness of the auscultatory and pH methods in predicting feeding tube placement. J Clin Nurs, 2010, 19(11-12): 1553-1559. | 
| 107. | Chenaitia H, Brun PM, Querellou E, et al. Ultrasound to confirm gastric tube placement in prehospital management. Resuscitation, 2012, 83(4): 447-451. | 
| 108. | Kim HM, So BH, Jeong WJ, et al. The effectiveness of ultrasonography in verifying the placement of a nasogastric tube in patients with low consciousness at an emergency center. Scand J Trauma Resusc Emerg Med, 2012, 20: 38. | 
| 109. | Boeykens K, Steeman E, Duysburgh I. Reliability of pH measurement and the auscultatory method to confirm the position of a nasogastric tube. Int J Nurs Stud, 2014, 51(11): 1427-1433. | 
| 110. | Brun PM, Chenaitia H, Lablanche C, et al. 2-point ultrasonography to confirm correct position of the gastric tube in prehospital setting. Mil Med, 2014, 179(9): 959-963. | 
| 111. | Gok F, Kilicaslan A, Yosunkaya A. Ultrasound-guided nasogastric feeding tube placement in critical care patients. Nutr Clin Pract, 2015, 30(2): 257-260. | 
| 112. | Muslu B, Demircioglu RI, G?zdemir M, et al. Comparison of neck ultrasonography with a pH meter to confirm correct position of nasogastric tube. Clin Invest Med, 2016, 39(6): 27520. | 
| 113. | Nedel WL, Jost MNF, Filho JWF. A simple and fast ultrasonographic method of detecting enteral feeding tube placement in mechanically ventilated, critically ill patients. J Intensive Care, 2017, 5: 55. | 
| 114. | Wong KW, Chan HH, Wong CP, et al. Using color flow detection of air insufflation to improve accuracy in verifying nasogastric tube position. Am J Emerg Med, 2017, 35(2): 333-336. | 
| 115. | Y?ld?r?m ?, Co?kun S, G?khan ?, et al. Verifying the placement of nasogastric tubes at an emergency center: comparison of ultrasound with chest radiograph. Emerg Med Int, 2018, 2018: 2370426. | 
| 116. | 胡旭琴. 愈裂貼膏在腦卒中患者留置復爾凱鼻胃管后固定效果的觀察. 中國實用醫藥, 2011, 6(15): 247-248. | 
| 117. | 鐘彩棠, 李小華, 劉偉娟. 高舉平臺結合3M透明敷料固定鼻胃管用于腦卒中患者的效果觀察. 護理學報, 2014, 12: 45-47. | 
| 118. | 董燕鴻, 閔飛燕, 張佛華, 等. 棉線繩三點一側胃管固定法在腦卒中患者中的應用研究. 上海護理, 2016, 16(2): 40-42. | 
| 119. | 石素寧, 王輝, 董娜, 等. 3M膠布聯合液體敷料固定老年腦卒中患者鼻胃管的效果觀察. 護理學雜志, 2017, 32(5): 44, 87. | 
| 120. | Sriram K, Jayanthi V, Lakshmi RG, et al. Prophylactic locking of enteral feeding tubes with pancreatic enzymes. JPEN J Parenter Enteral Nutr, 1997, 21(6): 353-356. | 
| 121. | Khalil Q, Kibria R, Akram S. Acute buried bumper syndrome. South Med J, 2010, 103(12): 1256-1258. | 
| 122. | Rahnemai-Azar AA, Rahnemaiazar AA, Naghshizadian R, et al. Percutaneous endoscopic gastrostomy: indications, technique, complications and management. World J Gastroenterol, 2014, 20(24): 7739-7751. | 
| 123. | Afifi I, Zarour A, Al-Hassani A, et al. The challenging buried bumper syndrome after percutaneous endoscopic gastrostomy. Case Rep Gastroenterol, 2016, 10(2): 224-232. | 
| 124. | Cyrany J, Rejchrt S, Kopacova M, et al. Buried bumper syndrome: A complication of percutaneous endoscopic gastrostomy. World J Gastroenterol, 2016, 22(2): 618-627. | 
| 125. | Drakulovic MB, Torres A, Bauer TT, et al. Supine body position as a risk factor for nosocomial pneumonia in mechanically ventilated patients: a randomised trial. Lancet, 1999, 354(9193): 1851-1858. | 
| 126. | 許天英, 王生萍, 董艷. 高齡臥床鼻飼患者進食體位的研究. 中國誤診學雜志, 2005, 5(10): 1938-1939. | 
| 127. | 鄭麗珊. 腦卒中病人鼻飼體位與誤吸的關系. 中國實用護理雜志, 2005, 21(14): 77. | 
| 128. | van Nieuwenhoven CA, Vandenbroucke-Grauls C, van Tiel FH, et al. Feasibility and effects of the semirecumbent position to prevent ventilator-associated pneumonia: a randomized study. Crit Care Med, 2006, 34(2): 396-402. | 
| 129. | 施海紅, 郗奉菊, 龔紹榮. 體位改變對鼻飼病人胃內容物反流發生率的影響. 護理研究, 2006, 20(29): 2698-2699. | 
| 130. | 代懷靜, 金躍華, 朱傳賢, 等. 側臥位鼻飼法應用于腦卒中病人的效果觀察. 護士進修雜志, 2007, 22(15): 1421. | 
| 131. | 張迎偉. 腦卒中患者鼻飼體位與吸入性肺炎關系的探討. 護理與康復, 2007, 6(5): 344-345. | 
| 132. | 燕純叔, 王睿. 鼻飼體位對預防呼吸機相關性肺炎的效果觀察. 現代預防醫學, 2008, 35(10): 1964-1965. | 
| 133. | 于雪梅, 譚易平. 重型顱腦損傷患者鼻飼體位及時間的探討及護理. 護士進修雜志, 2010, 25(2): 184-185. | 
| 134. | 朱影, 梁銀蓮, 陳雪梅, 等. 重型腦外傷患者鼻飼體位改進的效果評價. 現代醫院, 2010, 10(5): 95-96. | 
| 135. | 閆芳, 崔秀云, 王曉鷗, 等. 臨床高齡鼻飼病人的進食體位探討. 工企醫刊, 2011, 24(2): 34-35, 39. | 
| 136. | 楊海霞. 昏迷患者鼻飼體位與誤吸相關分析. 中國誤診學雜志, 2011, 11(12): 2842-2842. | 
| 137. | 黃金英, 周惠嫦. 進食體位改變對腦卒中吞咽障礙病人誤吸的研究. 護理研究, 2013, 27(29): 3256-3257. | 
| 138. | 王鳳菊. 氣管切開患者鼻飼時發生反流誤吸的原因及體位擺放. 中國當代醫藥, 2013, 20(30): 166-167, 169. | 
| 139. | 徐敏. 腦卒中患者鼻飼體位與吸入性肺炎的關系研究. 臨床合理用藥雜志, 2014, 7(9): 6, 8. | 
| 140. | 張韶紅, 王穎, 盛葉紅. 體位變化對腦卒中鼻飼患者食物返流的影響. 護士進修雜志, 2014, (19): 1769-1770. | 
| 141. | 居媛媛, 張子薔. 改變鼻胃管置管長度和鼻飼體位對重癥腦卒中患者的影響. 中國民康醫學, 2015, (13): 63-65. | 
| 142. | 郭福霞, 鐘德福, 陳淑敏, 等. 腦卒中吞咽障礙患者鼻飼后取半臥位持續時間對誤吸的影響. 護理學報, 2010, 17(15): 65-66. | 
| 143. | 詹秀玲, 王雪麗, 張競. 高齡腦卒中機械通氣患者腸內營養期誤吸的預防與護理. 當代護士, 2015, (7): 13-14. | 
| 144. | 徐英, 王娜. 不同吸痰體位對老年腦梗死患者耐受程度、生命體征及血氧飽和度的影響. 當代護士(中旬刊), 2016, (6): 65-67. | 
| 145. | 倪瑩瑩, 王首紅, 宋為群, 等. 神經重癥康復中國專家共識(上). 中國康復醫學雜志, 2018, 33(1): 7-14. | 
| 146. | 米元元, 黃培培, 董江, 等. 危重癥患者腸內營養不耐受預防及管理的最佳證據總結. 中華護理雜志, 2019, 54(12): 1868-1876. | 
| 147. | 楊賽, 李素云, 黃海燕. 住院患者腸內營養護理質量敏感性指標的構建. 護理學雜志, 2019, 34(9): 99-101. | 
| 148. | 趙詩雨, 喻姣花, 汪歡, 等. 基于循證構建腸內營養護理質量敏感指標體系. 中華護理雜志, 2019, 54(3): 344-349. | 
| 149. | Reintam Blaser A, Malbrain ML, Starkopf J, et al. Gastrointestinal function in intensive care patients: terminology, definitions and management. Recommendations of the ESICM Working Group on Abdominal Problems. Intensive Care Med, 2012, 38(3): 384-394. | 
| 150. | 林碧霞, 許麗春. 基于循證的重癥鼻飼患者喂養不耐受癥狀管理. 護理學雜志, 2019, 34(16): 107-110. | 
| 151. | Mentec H, Dupont H, Bocchetti M, et al. Upper digestive intolerance during enteral nutrition in critically ill patients: frequency, risk factors, and complications. Crit Care Med, 2001, 29(10): 1955-1961. | 
| 152. | Landzinski J, Kiser TH, Fish DN, et al. Gastric motility function in critically ill patients tolerant vs intolerant to gastric nutrition. JPEN J Parenter Enteral Nutr, 2008, 32(1): 45-50. | 
| 153. | 王婷, 許磊, 楊文群, 等. 創傷后腸內營養喂養不耐受的影響因素分析. 重慶醫科大學學報, 2016, 41(3): 274-277. | 
| 154. | Chang WK, McClave SA, Lee MS, et al. Monitoring bolus nasogastric tube feeding by the Brix value determination and residual volume measurement of gastric contents. JPEN J Parenter Enteral Nutr, 2004, 28(2): 105-112. | 
| 155. | McClave SA, Lukan JK, Stefater JA, et al. Poor validity of residual volumes as a marker for risk of aspiration in critically ill patients. Crit Care Med, 2005, 33(2): 324-330. | 
| 156. | 丁瑜, 王剛石, 張穎, 等. 白利度計與超聲測量腸內營養患者胃殘余量的對比研究. 中華內科雜志, 2017, 56(12): 940-942. | 
| 157. | Van Dyck L, Casaer MP. Intermittent or continuous feeding: any difference during the first week? Curr Opin Crit Care, 2019, 25(4): 356-362. | 
- 1. 《中國腦卒中防治報告》編寫組. 《中國腦卒中防治報告2019》概要. 中國腦血管病雜志, 2020, 17(5): 272-281.
- 2. Feigin VL, Norrving B, Mensah GA. Global burden of stroke. Circ Res, 2017, 120(3): 439-448.
- 3. Sabbouh T, Torbey MT. Malnutrition in stroke patients: risk factors, assessment, and management. Neurocrit Care, 2018, 29(3): 374-384.
- 4. 陳忠蘭, 谷波, 王聰, 等. 從循證醫學到循證科學: 護理的探索. 中國循證醫學雜志, 2019, 19(12): 114-119.
- 5. 楊克虎, 譯. 世界衛生組織. 世界衛生組織指南制訂手冊. 蘭州: 蘭州大學出版社, 2013.
- 6. Holger JS, Wojtek W, Itziar E, 等. 指南2.0: 為成功制訂指南而系統研發的全面清單. 中國循證醫學雜志, 2014, 14(9): 1135-1149.
- 7. Guyatt G, Oxman AD, Akl EA, et al. GRADE guidelines: 1. Introduction-GRADE evidence profiles and summary of findings tables. J Clin Epidemiol, 2011, 64(4): 383-394.
- 8. Brouwers MC, Kho ME, Browman GP, et al. AGREE II: advancing guideline development, reporting and evaluation in health care. CMAJ, 2010, 182(18): E839-842.
- 9. 陳耀龍. 衛生保健實踐指南的報告規范研究. 蘭州: 蘭州大學, 2015.
- 10. Shea BJ, Reeves BC, Wells G, et al. AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both. BMJ, 2017, 358: j4008.
- 11. Higgins JP, Altman DG, G?tzsche PC, et al. The Cochrane Collaboration's tool for assessing risk of bias in randomised trials. BMJ, 2011, 343: d5928.
- 12. Stang A. Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses. Eur J Epidemiol, 2010, 25(9): 603-605.
- 13. Whiting PF, Rutjes AW, Westwood ME, et al. QUADAS-2: a revised tool for the quality assessment of diagnostic accuracy studies. Ann Intern Med, 2011, 155(8): 529-536.
- 14. Guyatt GH, Alonso-Coello P, Schünemann HJ, et al. Guideline panels should seldom make good practice statements: guidance from the GRADE Working Group. J Clin Epidemiol, 2016, 80: 3-7.
- 15. Markle-Reid M, Orridge C, Weir R, et al. Interprofessional stroke rehabilitation for stroke survivors using home care. Can J Neurol Sci, 2011, 38(2): 317-334.
- 16. Middleton S, McElduff P, Ward J, et al. Implementation of evidence-based treatment protocols to manage fever, hyperglycaemia, and swallowing dysfunction in acute stroke (QASC): a cluster randomised controlled trial. Lancet, 2011, 378(9804): 1699-1706.
- 17. 陳少玲, 葉莉, 潘月會, 等. 卒中小組管理模式對腦卒中偏癱病人的影響. 護理研究, 2012, 26(10): 877-879.
- 18. 高金玲, 呂桂玲, 宋劍, 等. 多學科管理小組早期干預對腦卒中后攝食-吞咽障礙功能恢復的療效觀察. 河北醫藥, 2012, 34(7): 1097-1098.
- 19. 張俊梅. 聯合營養管理對重癥腦卒中患者營養狀況和近期并發癥的影響. 中國實用神經疾病雜志, 2017, 20(13): 23-26.
- 20. 周海晏, 吳立新, 汪苗, 等. 多學科合作連續康復護理對腦卒中偏癱患者生存質量的影響. 安徽醫藥, 2018, 22(8): 1625-1627.
- 21. Skipper A, Coltman A, Tomesko J, et al. Adult malnutrition (undernutrition) screening: an evidence analysis center systematic review. J Acad Nutr Diet, 2020, 120(4): 669-708.
- 22. 張敏, 郝艷青, 孫錚. 歐洲營養風險篩查2002與微型營養評價法在腦卒中吞咽障礙患者營養狀況評價中的應用. 中華現代護理雜志, 2013, 19(7): 764-767.
- 23. Wang J, Luo B, Xie Y, et al. Evaluation methods on the nutritional status of stroke patients. Eur Rev Med Pharmacol Sci, 2014, 18(24): 3902-3907.
- 24. Zhao NN, Zeng KX, Wang YL, et al. Research on the nutrition and cognition of high-risk stroke groups in community and the relevant factors. Eur Rev Med Pharmacol Sci, 2017, 21(23): 5408-5414.
- 25. Daniels SK, Brailey K, Priestly DH, et al. Aspiration in patients with acute stroke. Arch Phys Med Rehabil, 1998, 79(1): 14-19.
- 26. Smithard DG, O'Neill PA, Park C, et al. Can bedside assessment reliably exclude aspiration following acute stroke? Age Ageing, 1998, 27(2): 99-106.
- 27. Smith HA, Lee SH, O'Neill PA, et al. The combination of bedside swallowing assessment and oxygen saturation monitoring of swallowing in acute stroke: a safe and humane screening tool. Age Ageing, 2000, 29(6): 495-499.
- 28. Lim SH, Lieu PK, Phua SY, et al. Accuracy of bedside clinical methods compared with fiberoptic endoscopic examination of swallowing (FEES) in determining the risk of aspiration in acute stroke patients. Dysphagia, 2001, 16(1): 1-6.
- 29. Leder SB, Espinosa JF. Aspiration risk after acute stroke: comparison of clinical examination and fiberoptic endoscopic evaluation of swallowing. Dysphagia, 2002, 17(3): 214-218.
- 30. McCullough GH, Rosenbek JC, Wertz RT, et al. Utility of clinical swallowing examination measures for detecting aspiration post-stroke. J Speech Lang Hear Res, 2005, 48(6): 1280-1293.
- 31. Ramsey DJ, Smithard DG, Kalra L. Can pulse oximetry or a bedside swallowing assessment be used to detect aspiration after stroke? Stroke, 2006, 37(12): 2984-2988.
- 32. Trapl M, Enderle P, Nowotny M, et al. Dysphagia bedside screening for acute-stroke patients: the Gugging Swallowing Screen. Stroke, 2007, 38(11): 2948-2952.
- 33. Martino R, Silver F, Teasell R, et al. The Toronto bedside swallowing screening test (TOR-BSST): development and validation of a dysphagia screening tool for patients with stroke. Stroke, 2009, 40(2): 555-561.
- 34. Turner-Lawrence DE, Peebles M, Price MF, et al. A feasibility study of the sensitivity of emergency physician dysphagia screening in acute stroke patients. Ann Emerg Med, 2009, 54(3): 344-348.
- 35. Edmiaston J, Connor LT, Steger-May K, et al. A simple bedside stroke dysphagia screen, validated against videofluoroscopy, detects dysphagia and aspiration with high sensitivity. J Stroke Cerebrovasc Dis, 2014, 23(4): 712-716.
- 36. Leigh JH, Lim JY, Han MK, et al. A prospective comparison between bedside swallowing screening test and videofluoroscopic swallowing study in post-stroke dysphagia. Brain Neurorehabilit, 2016, 9(2): 1-10.
- 37. Toscano M, Viganò A, Rea A, et al. Sapienza global bedside evaluation of swallowing after Stroke: the GLOBE-3S study. Eur J Neurol, 2019, 26(4): 596-602.
- 38. Gomes F, Hookway C, Weekes CE, et al. Royal college of physicians intercollegiate stroke working party evidence-based guidelines for the nutritional support of patients who have had a stroke. J Hum Nutr Diet, 2014, 27(2): 107-121.
- 39. Burgos R, Bretón I, Cereda E, et al. ESPEN guideline clinical nutrition in neurology. Clin Nutr, 2018, 37(1): 354-396.
- 40. Powers WJ, Rabinstein AA, Ackerson T, et al. 2018 guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, 2018, 49(3): e46-e110.46-110.
- 41. Ciocon JO, Galindo-Ciocon DJ, Tiessen C, et al. Continuous compared with intermittent tube feeding in the elderly. JPEN J Parenter Enteral Nutr, 1992, 16(6): 525-528.
- 42. Serpa LF, Kimura M, Faintuch J, et al. Effects of continuous versus bolus infusion of enteral nutrition in critical patients. Rev Hosp Clin Fac Med Sao Paulo, 2003, 58(1): 9-14.
- 43. MacLeod JB, Lefton J, Houghton D, et al. Prospective randomized control trial of intermittent versus continuous gastric feeds for critically ill trauma patients. J Trauma, 2007, 63(1): 57-61.
- 44. 張玉蘭. 兩種鼻飼腸內營養法治療重型顱腦損傷患者并發癥的比較觀察. 安徽醫學, 2009, 30(9): 1105-1106.
- 45. Lee JS, Kwok T, Chui PY, et al. Can continuous pump feeding reduce the incidence of pneumonia in nasogastric tube-fed patients? A randomized controlled trial. Clin Nutr, 2010, 29(4): 453-458.
- 46. 張秀蘭, 張麗英, 許偉芳. 不同鼻飼法預防吸入性肺炎發生的效果觀察. 腸外與腸內營養, 2010, 17(4): 253-254.
- 47. Maurya I, Pawar M, Garg R, et al. Comparison of respiratory quotient and resting energy expenditure in two regimens of enteral feeding - continuous vs. intermittent in head-injured critically ill patients. Saudi J Anaesth, 2011, 5(2): 195-201.
- 48. 方萍, 岳明, 霍佳佳, 等. 老年卒中患者不同鼻飼方式及間隔時間的研究. 護士進修雜志, 2011, 26(23): 2158-2159.
- 49. 劉旺梅, 陳華英. 營養泵在危重癥患者中的應用. 中國實用醫藥, 2011, 06(36): 191-193.
- 50. 汪遠碧, 蔡斌. 泵輸注法和傳統推注法對腦卒中患者腸內營養支持相關并發癥影響的比較. 中華臨床營養雜志, 2011, 19(1): 19-21.
- 51. 胡亮華. 腸內營養泵用于預防呼吸機相關性肺炎的臨床觀察. 實用臨床醫學, 2012, 13(10): 53-54.
- 52. 黃瑞英, 朱小燕, 王妤. 持續泵入鼻飼與間歇鼻飼兩種方法并發癥的觀察. 廣東醫學, 2012, 33(10): 1524-1525.
- 53. 柳繼, 談莉君, 桑征, 等. 腸內營養不同灌注方式的效果評價. 上海護理, 2012, 12(4): 44-45.
- 54. 王燕翔. 腸內營養泵在腦卒中患者中的應用. 內蒙古中醫藥, 2012, 31(7): 57.
- 55. 范雪梅. 腸內營養泵與注射器推注法行鼻飼腸內營養應用的比較. 福建醫藥雜志, 2013, 35(2): 167-168.
- 56. 趙羅亞, 沈美珠. 老年卒中患者鼻飼應用營養泵對卒中相關性肺炎發生的影響分析. 臨床肺科雜志, 2016, 21(4): 712-714.
- 57. Nasiri M, Farsi Z, Ahangari M, et al. Comparison of intermittent and bolus enteral feeding methods on enteral feeding intolerance of patients with sepsis: a triple-blind controlled trial in intensive care units. Middle East J Dig Dis, 2017, 9(4): 218-227.
- 58. 馬晨, 李力, 李雯, 等. 基于喂養泵的持續性與間斷性腸內喂養對腦卒中患者營養達標率的影響. 中華臨床營養雜志, 2017, 25(3): 153-158.
- 59. 臧麗麗, 時敏秀, 宮兵兵, 等. 腦卒中急性胃腸功能輕度障礙患者間斷腸內營養研究. 護理學雜志, 2018, 33(16): 45-46, 51.
- 60. Sang M, Huang YQ, Jin CD. Heating infusion for gastrointestinal complications in patients with enteral nutrition: a meta-analysis. Medical Data Mining, 2019, 2(1): 22-30.
- 61. Uysal N, E?er ?, Akpinar H. The effect of abdominal massage on gastric residual volume: a randomized controlled trial. Gastroenterol Nurs, 2012, 35(2): 117-123.
- 62. 葛爭紅, 陸桂銀, 高丹鳳. 腹部按摩對昏迷患者腸內營養后胃潴留的影響. 廣東醫學, 2013, 34(15): 2431-2433.
- 63. 呂紅利, 倪元紅, 胡林峰, 等. 腹部按摩對行腸內營養危重癥患者胃潴留量的影響. 解放軍護理雜志, 2014, (18): 26-28.
- 64. Kahraman BB, Ozdemir L. The impact of abdominal massage administered to intubated and enterally fed patients on the development of ventilator-associated pneumonia: a randomized controlled study. Int J Nurs Stud, 2015, 52(2): 519-524.
- 65. 周貝貝, 楊金麗, 袁義厘, 等. 腹部按摩對留置鼻腸管的重癥顱腦損傷病人胃腸功能恢復的影響. 全科護理, 2016, 14(11): 1112-1113.
- 66. UysalNurcan. The effect of abdominal massage administered by caregivers on gastric complications occurring in patients intermittent enteral feeding - a randomized controlled trial. Eur J Integr Med, 2017, 10: 75-81.
- 67. 黃萍. 腸內營養患者應用腹部按摩護理的臨床意義. 現代消化及介入診療, 2017, 22(4): 574-576.
- 68. 林艷萍, 林蘭, 連小勤, 等. 生物陶瓷對危重患者腸內營養期間胃腸道并發癥的效果研究. 齊齊哈爾醫學院學報, 2016, 37(14): 1868-1870.
- 69. 霍蕊, 陳敏, 朱瑩瑩. 體位與床上活動干預在胃癌患者術后行腸內營養中的應用. 包頭醫學院學報, 2018, 34(3): 98-99, 106.
- 70. 鹿振輝. 腸內營養過程中測定胃殘余量的意義. 中華現代護理雜志, 2009, 15(1): 39-40.
- 71. Poulard F, Dimet J, Martin-Lefevre L, et al. Impact of not measuring residual gastric volume in mechanically ventilated patients receiving early enteral feeding: a prospective before-after study. JPEN J Parenter Enteral Nutr, 2010, 34(2): 125-130.
- 72. 陳玉琴, 陳靖, 王大慶, 等. 胃殘留量監測對重癥患者腸內營養并發癥的效果觀察. 國際護理學雜志, 2010, 29(7): 975-977.
- 73. Reignier J, Mercier E, Le Gouge A, et al. Effect of not monitoring residual gastric volume on risk of ventilator-associated pneumonia in adults receiving mechanical ventilation and early enteral feeding: a randomized controlled trial. JAMA, 2013, 309(3): 249-256.
- 74. 樂碧芳, 閭小慧, 劉偉香, 等. 胃殘余量測定對預防腦梗死患者吸入性肺炎的效果評價. 國際護理學雜志, 2013, 32(5): 915-917.
- 75. Williams TA, Leslie G, Mills L, et al. Frequency of aspirating gastric tubes for patients receiving enteral nutrition in the ICU: a randomized controlled trial. JPEN J Parenter Enteral Nutr, 2014, 38(7): 809-816.
- 76. 吳艷春, 趙妤嵐, 李曉霞, 等. 胃殘留量監測在危重患者腸內營養中的應用. 國際護理學雜志, 2014, (8): 2080-2081.
- 77. Chen S, Xian W, Cheng S, et al. Risk of regurgitation and aspiration in patients infused with different volumes of enteral nutrition. Asia Pac J Clin Nutr, 2015, 24(2): 212-218.
- 78. Ozen N, Tosun N, Yamanel L, et al. Evaluation of the effect on patient parameters of not monitoring gastric residual volume in intensive care patients on a mechanical ventilator receiving enteral feeding: A randomized clinical trial. J Crit Care, 2016, 33: 137-144.
- 79. Tume LN, Bickerdike A, Latten L, et al. Routine gastric residual volume measurement and energy target achievement in the PICU: a comparison study. Eur J Pediatr, 2017, 176(12): 1637-1644.
- 80. Wiese AN, Rogers MJ, Way M, et al. The impact of removing gastric residual volume monitoring and enteral nutrition rate titration in adults receiving mechanical ventilation. Aust Crit Care, 2020, 33(2): 155-161.
- 81. 鄧巖軍, 吳雪梅, 謝紅, 等. 超聲測定胃排空功能指導重癥機械通氣患者腸內營養的臨床應用. 中華老年多器官疾病雜志, 2016, 15(7): 533-536.
- 82. 曹嵐, 葉向紅, 李君, 等. 床旁超聲監測胃殘余量在神經外科重癥患者腸內營養中的應用. 中華醫學雜志, 2017, 97(9): 675-678.
- 83. 潘靈愛, 黃曉波, 王藝萍. 超聲監測胃殘余量在風心病合并惡液質病人術后腸內營養中的應用. 腸外與腸內營養, 2018, 25(1): 43-45, 51.
- 84. Pinilla JC, Samphire J, Arnold C, et al. Comparison of gastrointestinal tolerance to two enteral feeding protocols in critically ill patients: a prospective, randomized controlled trial. JPEN J Parenter Enteral Nutr, 2001, 25(2): 81-86.
- 85. Montejo JC, Mi?ambres E, Bordejé L, et al. Gastric residual volume during enteral nutrition in ICU patients: the REGANE study. Intensive Care Med, 2010, 36(8): 1386-1393.
- 86. 郭敏, 黃妮娜, 王慶云, 等. 不同胃殘余量對重癥患者腸內營養的影響. 齊魯護理雜志, 2015, (15): 100-101.
- 87. 殷俊, 曹嵐, 周思敏, 等. 兩種胃殘余量監測方案在重癥患者胃腸內營養支持中的臨床效果分析. 世界最新醫學信息文摘, 2018, 18(48): 24-25.
- 88. Metheny N, Reed L, Wiersema L, et al. Effectiveness of pH measurements in predicting feeding tube placement: an update. Nurs Res, 1993, 42(6): 324-331.
- 89. D'Souza CR, Kilam SA, D'Souza U, et al. Pulmonary complications of feeding tubes: a new technique of insertion and monitoring malposition. Can J Surg, 1994, 37(5): 404-408.
- 90. Welch SK, Hanlon MD, Waits M, et al. Comparison of four bedside indicators used to predict duodenal feeding tube placement with radiography. JPEN J Parenter Enteral Nutr, 1994, 18(6): 525-530.
- 91. Neumann MJ, Meyer CT, Dutton JL, et al. Hold that x-ray: aspirate pH and auscultation prove enteral tube placement. J Clin Gastroenterol, 1995, 20(4): 293-295.
- 92. Thomas BW, Falcone RE. Confirmation of nasogastric tube placement by colorimetric indicator detection of carbon dioxide: a preliminary report. J Am Coll Nutr, 1998, 17(2): 195-197.
- 93. Metheny NA, Stewart BJ, Smith L, et al. pH and concentration of bilirubin in feeding tube aspirates as predictors of tube placement. Nurs Res, 1999, 48(4): 189-197.
- 94. Metheny NA, Smith L, Stewart BJ. Development of a reliable and valid bedside test for bilirubin and its utility for improving prediction of feeding tube location. Nurs Res, 2000, 49(6): 302-309.
- 95. Burns SM, Carpenter R, Truwit JD. Report on the development of a procedure to prevent placement of feeding tubes into the lungs using end-tidal CO2 measurements. Crit Care Med, 2001, 29(5): 936-939.
- 96. Kindopp AS, Drover JW, Heyland DK. Capnography confirms correct feeding tube placement in intensive care unit patients. Can J Anaesth, 2001, 48(7): 705-710.
- 97. Araujo-Preza CE, Melhado ME, Gutierrez FJ, et al. Use of capnometry to verify feeding tube placement. Crit Care Med, 2002, 30(10): 2255-2259.
- 98. Metheny NA, Stewart BJ. Testing feeding tube placement during continuous tube feedings. Appl Nurs Res, 2002, 15(4): 254-258.
- 99. Phang JS, Marsh WA, Barlows TG, et al. Determining feeding tube location by gastric and intestinal pH values. Nutr Clin Pract, 2004, 19(6): 640-644.
- 100. Howes DW, Shelley ES, Pickett W. Colorimetric carbon dioxide detector to determine accidental tracheal feeding tube placement. Can J Anaesth, 2005, 52(4): 428-432.
- 101. Vigneau C, Baudel JL, Guidet B, et al. Sonography as an alternative to radiography for nasogastric feeding tube location. Intensive Care Med, 2005, 31(11): 1570-1572.
- 102. Gubler C, Bauerfeind P, Vavricka SR, et al. Bedside sonographic control for positioning enteral feeding tubes: a controlled study in intensive care unit patients. Endoscopy, 2006, 38(12): 1256-1260.
- 103. Elpern EH, Killeen K, Talla E, et al. Capnometry and air insufflation for assessing initial placement of gastric tubes. Am J Crit Care, 2007, 16(6): 544-549.
- 104. Munera-Seeley V, Ochoa JB, Brown N, et al. Use of a colorimetric carbon dioxide sensor for nasoenteric feeding tube placement in critical care patients compared with clinical methods and radiography. Nutr Clin Pract, 2008, 23(3): 318-321.
- 105. Meyer P, Henry M, Maury E, et al. Colorimetric capnography to ensure correct nasogastric tube position. J Crit Care, 2009, 24(2): 231-235.
- 106. Turgay AS, Khorshid L. Effectiveness of the auscultatory and pH methods in predicting feeding tube placement. J Clin Nurs, 2010, 19(11-12): 1553-1559.
- 107. Chenaitia H, Brun PM, Querellou E, et al. Ultrasound to confirm gastric tube placement in prehospital management. Resuscitation, 2012, 83(4): 447-451.
- 108. Kim HM, So BH, Jeong WJ, et al. The effectiveness of ultrasonography in verifying the placement of a nasogastric tube in patients with low consciousness at an emergency center. Scand J Trauma Resusc Emerg Med, 2012, 20: 38.
- 109. Boeykens K, Steeman E, Duysburgh I. Reliability of pH measurement and the auscultatory method to confirm the position of a nasogastric tube. Int J Nurs Stud, 2014, 51(11): 1427-1433.
- 110. Brun PM, Chenaitia H, Lablanche C, et al. 2-point ultrasonography to confirm correct position of the gastric tube in prehospital setting. Mil Med, 2014, 179(9): 959-963.
- 111. Gok F, Kilicaslan A, Yosunkaya A. Ultrasound-guided nasogastric feeding tube placement in critical care patients. Nutr Clin Pract, 2015, 30(2): 257-260.
- 112. Muslu B, Demircioglu RI, G?zdemir M, et al. Comparison of neck ultrasonography with a pH meter to confirm correct position of nasogastric tube. Clin Invest Med, 2016, 39(6): 27520.
- 113. Nedel WL, Jost MNF, Filho JWF. A simple and fast ultrasonographic method of detecting enteral feeding tube placement in mechanically ventilated, critically ill patients. J Intensive Care, 2017, 5: 55.
- 114. Wong KW, Chan HH, Wong CP, et al. Using color flow detection of air insufflation to improve accuracy in verifying nasogastric tube position. Am J Emerg Med, 2017, 35(2): 333-336.
- 115. Y?ld?r?m ?, Co?kun S, G?khan ?, et al. Verifying the placement of nasogastric tubes at an emergency center: comparison of ultrasound with chest radiograph. Emerg Med Int, 2018, 2018: 2370426.
- 116. 胡旭琴. 愈裂貼膏在腦卒中患者留置復爾凱鼻胃管后固定效果的觀察. 中國實用醫藥, 2011, 6(15): 247-248.
- 117. 鐘彩棠, 李小華, 劉偉娟. 高舉平臺結合3M透明敷料固定鼻胃管用于腦卒中患者的效果觀察. 護理學報, 2014, 12: 45-47.
- 118. 董燕鴻, 閔飛燕, 張佛華, 等. 棉線繩三點一側胃管固定法在腦卒中患者中的應用研究. 上海護理, 2016, 16(2): 40-42.
- 119. 石素寧, 王輝, 董娜, 等. 3M膠布聯合液體敷料固定老年腦卒中患者鼻胃管的效果觀察. 護理學雜志, 2017, 32(5): 44, 87.
- 120. Sriram K, Jayanthi V, Lakshmi RG, et al. Prophylactic locking of enteral feeding tubes with pancreatic enzymes. JPEN J Parenter Enteral Nutr, 1997, 21(6): 353-356.
- 121. Khalil Q, Kibria R, Akram S. Acute buried bumper syndrome. South Med J, 2010, 103(12): 1256-1258.
- 122. Rahnemai-Azar AA, Rahnemaiazar AA, Naghshizadian R, et al. Percutaneous endoscopic gastrostomy: indications, technique, complications and management. World J Gastroenterol, 2014, 20(24): 7739-7751.
- 123. Afifi I, Zarour A, Al-Hassani A, et al. The challenging buried bumper syndrome after percutaneous endoscopic gastrostomy. Case Rep Gastroenterol, 2016, 10(2): 224-232.
- 124. Cyrany J, Rejchrt S, Kopacova M, et al. Buried bumper syndrome: A complication of percutaneous endoscopic gastrostomy. World J Gastroenterol, 2016, 22(2): 618-627.
- 125. Drakulovic MB, Torres A, Bauer TT, et al. Supine body position as a risk factor for nosocomial pneumonia in mechanically ventilated patients: a randomised trial. Lancet, 1999, 354(9193): 1851-1858.
- 126. 許天英, 王生萍, 董艷. 高齡臥床鼻飼患者進食體位的研究. 中國誤診學雜志, 2005, 5(10): 1938-1939.
- 127. 鄭麗珊. 腦卒中病人鼻飼體位與誤吸的關系. 中國實用護理雜志, 2005, 21(14): 77.
- 128. van Nieuwenhoven CA, Vandenbroucke-Grauls C, van Tiel FH, et al. Feasibility and effects of the semirecumbent position to prevent ventilator-associated pneumonia: a randomized study. Crit Care Med, 2006, 34(2): 396-402.
- 129. 施海紅, 郗奉菊, 龔紹榮. 體位改變對鼻飼病人胃內容物反流發生率的影響. 護理研究, 2006, 20(29): 2698-2699.
- 130. 代懷靜, 金躍華, 朱傳賢, 等. 側臥位鼻飼法應用于腦卒中病人的效果觀察. 護士進修雜志, 2007, 22(15): 1421.
- 131. 張迎偉. 腦卒中患者鼻飼體位與吸入性肺炎關系的探討. 護理與康復, 2007, 6(5): 344-345.
- 132. 燕純叔, 王睿. 鼻飼體位對預防呼吸機相關性肺炎的效果觀察. 現代預防醫學, 2008, 35(10): 1964-1965.
- 133. 于雪梅, 譚易平. 重型顱腦損傷患者鼻飼體位及時間的探討及護理. 護士進修雜志, 2010, 25(2): 184-185.
- 134. 朱影, 梁銀蓮, 陳雪梅, 等. 重型腦外傷患者鼻飼體位改進的效果評價. 現代醫院, 2010, 10(5): 95-96.
- 135. 閆芳, 崔秀云, 王曉鷗, 等. 臨床高齡鼻飼病人的進食體位探討. 工企醫刊, 2011, 24(2): 34-35, 39.
- 136. 楊海霞. 昏迷患者鼻飼體位與誤吸相關分析. 中國誤診學雜志, 2011, 11(12): 2842-2842.
- 137. 黃金英, 周惠嫦. 進食體位改變對腦卒中吞咽障礙病人誤吸的研究. 護理研究, 2013, 27(29): 3256-3257.
- 138. 王鳳菊. 氣管切開患者鼻飼時發生反流誤吸的原因及體位擺放. 中國當代醫藥, 2013, 20(30): 166-167, 169.
- 139. 徐敏. 腦卒中患者鼻飼體位與吸入性肺炎的關系研究. 臨床合理用藥雜志, 2014, 7(9): 6, 8.
- 140. 張韶紅, 王穎, 盛葉紅. 體位變化對腦卒中鼻飼患者食物返流的影響. 護士進修雜志, 2014, (19): 1769-1770.
- 141. 居媛媛, 張子薔. 改變鼻胃管置管長度和鼻飼體位對重癥腦卒中患者的影響. 中國民康醫學, 2015, (13): 63-65.
- 142. 郭福霞, 鐘德福, 陳淑敏, 等. 腦卒中吞咽障礙患者鼻飼后取半臥位持續時間對誤吸的影響. 護理學報, 2010, 17(15): 65-66.
- 143. 詹秀玲, 王雪麗, 張競. 高齡腦卒中機械通氣患者腸內營養期誤吸的預防與護理. 當代護士, 2015, (7): 13-14.
- 144. 徐英, 王娜. 不同吸痰體位對老年腦梗死患者耐受程度、生命體征及血氧飽和度的影響. 當代護士(中旬刊), 2016, (6): 65-67.
- 145. 倪瑩瑩, 王首紅, 宋為群, 等. 神經重癥康復中國專家共識(上). 中國康復醫學雜志, 2018, 33(1): 7-14.
- 146. 米元元, 黃培培, 董江, 等. 危重癥患者腸內營養不耐受預防及管理的最佳證據總結. 中華護理雜志, 2019, 54(12): 1868-1876.
- 147. 楊賽, 李素云, 黃海燕. 住院患者腸內營養護理質量敏感性指標的構建. 護理學雜志, 2019, 34(9): 99-101.
- 148. 趙詩雨, 喻姣花, 汪歡, 等. 基于循證構建腸內營養護理質量敏感指標體系. 中華護理雜志, 2019, 54(3): 344-349.
- 149. Reintam Blaser A, Malbrain ML, Starkopf J, et al. Gastrointestinal function in intensive care patients: terminology, definitions and management. Recommendations of the ESICM Working Group on Abdominal Problems. Intensive Care Med, 2012, 38(3): 384-394.
- 150. 林碧霞, 許麗春. 基于循證的重癥鼻飼患者喂養不耐受癥狀管理. 護理學雜志, 2019, 34(16): 107-110.
- 151. Mentec H, Dupont H, Bocchetti M, et al. Upper digestive intolerance during enteral nutrition in critically ill patients: frequency, risk factors, and complications. Crit Care Med, 2001, 29(10): 1955-1961.
- 152. Landzinski J, Kiser TH, Fish DN, et al. Gastric motility function in critically ill patients tolerant vs intolerant to gastric nutrition. JPEN J Parenter Enteral Nutr, 2008, 32(1): 45-50.
- 153. 王婷, 許磊, 楊文群, 等. 創傷后腸內營養喂養不耐受的影響因素分析. 重慶醫科大學學報, 2016, 41(3): 274-277.
- 154. Chang WK, McClave SA, Lee MS, et al. Monitoring bolus nasogastric tube feeding by the Brix value determination and residual volume measurement of gastric contents. JPEN J Parenter Enteral Nutr, 2004, 28(2): 105-112.
- 155. McClave SA, Lukan JK, Stefater JA, et al. Poor validity of residual volumes as a marker for risk of aspiration in critically ill patients. Crit Care Med, 2005, 33(2): 324-330.
- 156. 丁瑜, 王剛石, 張穎, 等. 白利度計與超聲測量腸內營養患者胃殘余量的對比研究. 中華內科雜志, 2017, 56(12): 940-942.
- 157. Van Dyck L, Casaer MP. Intermittent or continuous feeding: any difference during the first week? Curr Opin Crit Care, 2019, 25(4): 356-362.
 
        

 
                