15例特重度烧伤俯卧位通气患者早期幽门后喂养不减速的护理

doi:10.3761/j.issn.0254-1769.2021.05.018

中华护理杂志 ›› 2021, Vol. 56 ›› Issue (5): 748-750.DOI: 10.3761/j.issn.0254-1769.2021.05.018

15例特重度烧伤俯卧位通气患者早期幽门后喂养不减速的护理

封秀琴(),蔡凌云,周佳佳,曾妃,张玉萍,金丁萍()

310009 杭州市浙江大学医学院附属第二医院护理部（封秀琴,蔡凌云,周佳佳,张玉萍）,综合ICU（曾妃）,院感科（金丁萍）

收稿日期:2020-10-25 出版日期:2021-05-15 发布日期:2021-05-14
通讯作者:
作者简介:封秀琴：女,硕士,主任护师,护理部副主任,E-mail： fengxiuqin@zju.edu.cn
基金资助:
浙江省医药卫生科技计划(2019KY407);浙江省卫生健康重大科技计划重点项目(WKJ-ZJ-2123)

Nursing care of non-slow down post-pyloric feeding for 15 severe burn patients with prone ventilation

FENG Xiuqin(),CAI Lingyun,ZHOU Jiajia,ZENG Fei,ZHANG Yuping,JIN Dingping()

Received:2020-10-25 Online:2021-05-15 Published:2021-05-14

摘要/Abstract

摘要：

总结15例特重度烧伤俯卧位通气患者早期幽门后喂养不减速的实施经验与成效。护理内容主要如下。构建多学科俯卧位通气肠内营养团队,动态调整个性化精准营养方案,管理喂养目标速率,实施以腹内压指导下的喂养不减速策略,有效预防胃肠不耐受。15例患者经精心护理后,24~48 h内肠内营养达标率为20%~60%,1周肠内营养达标率为50%~95%,胃肠耐受较好,以腹内压为目标导向的早期幽门后喂养不减速在特重度烧伤俯卧位通气患者中的应用安全有效。

关键词: 俯卧位通气, 幽门后喂养, 烧伤, 腹内压, 护理

Abstract:

To summarize the experience and effectiveness of non-slow down post-pyloric feeding in 15 severe burn patients with prone position ventilation. We established a multi-disciplinary prone position ventilation and enteral nutrition team,dynamically adjusted the personalized and precise nutrition plans,managed the target feeding rate,and implemented the intra-abdominal pressure oriented and non-slow down feeding strategy,and effectively prevented gastrointestinal intolerance. After careful care of 15 patients,the standard rate of enteral nutrition within 24 to 48 hours was 20%~60%,and the standard rate within a week was 50% to 95%. The gastrointestinal tolerance was good. The intra-abdominal pressure oriented and early post-pyloric non-slow down feeding is safe and effective in severe burn patients with prone ventilation.

Key words: Prone Position Ventilation, Post-Pyloric Feeding, Burn, Intra-Abdominal Pressure, Nursing Care

封秀琴,蔡凌云,周佳佳,曾妃,张玉萍,金丁萍. 15例特重度烧伤俯卧位通气患者早期幽门后喂养不减速的护理[J]. 中华护理杂志, 2021, 56(5): 748-750.

FENG Xiuqin,CAI Lingyun,ZHOU Jiajia,ZENG Fei,ZHANG Yuping,JIN Dingping. Nursing care of non-slow down post-pyloric feeding for 15 severe burn patients with prone ventilation[J]. Chinese Journal of Nursing, 2021, 56(5): 748-750.

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15例特重度烧伤俯卧位通气患者早期幽门后喂养不减速的护理

Nursing care of non-slow down post-pyloric feeding for 15 severe burn patients with prone ventilation

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