Gastointestinal dysfunction in critically ill patients
Conditions
Interventions
The treatment group of Da Chengqi Decoction:Dachengqi Decoction (rhubarb 20g magnolia bark 20g immature bitter orange 15g banksia rose 10g areca nut 10g angelica sinensis 10g peach kernel 10g radish
control group:The routine treatment of acute gastrointestinal injury in the ICU
Sponsors
Cangzhou Central Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 100 Years
Inclusion criteria
Inclusion criteria: Severe patients with acute gastrointestinal injury diagnosed by ultrasound evaluation and clinical screening in ICU of Emergency Medical Department of Cangzhou Central Hospital: 1) age =18 years old;2) acute physiology and chronic health-II (APACHE-II) score>8 points.
Exclusion criteria
Exclusion criteria: 1) Hospitalization time <24h;2) Pregnant women;3) Previous mesenteric vascular disease;4) Mechanical intestinal obstruction; 4) Enteral nutrition is not expected within 7 days due to digestive tract surgery; 4) Acute gastrointestinal injury before admission; 4) Advanced cancer; End-stage multiple organ failure; Periumbilical skin rupture; No informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Gastrointestinal ultrasound; | — |
Secondary
| Measure | Time frame |
|---|---|
| Tolerance to enteral/parenteral nutrition feeding;intra-abdominal pressure;Defecation and exhaust conditions;The duration and highest grade of acute gastrointestinal injury;Gastric Retention;The prognosis and outcome were followed up for 28 days;The application of gastrointestinal motility promoting/laxative drugs;vasoactive drug;The application of analgesic and sedative drugs; | — |
Countries
China
Contacts
Public ContactZhao Yaning
Cangzhou Central Hospital
Outcome results
None listed