doi:10.3761/j.issn.0254-1769.2019.05.022

Abstract

Key words: Intestinal Obstruction, Nutritional Support, Digestive Fluid Reinfusion, Pediatric Nursing

摘要：

总结了1例肠梗阻患儿行肠内营养联合消化液回输的护理经验。护理要点包括：准确的营养评估;全营养混合液的使用;肠内营养支持期间体位的管理、导管的维护、并发症的观察;通过合理的消化液回输改善患儿电解质紊乱及营养状况;个性化的心理护理。经过45 d的治疗及精心护理,患儿好转出院。

关键词: 肠梗阻, 营养支持, 消化液回输, 儿科护理学

付裕,张钰琪,李蒙娜. 肠梗阻患儿肠内营养联合消化液回输的护理[J]. 中华护理杂志, 2019, 54(5): 736-738.

References 17

[1]	李乐之, 路潜 . 外科护理学[M]. 5版.北京: 人民卫生出版社, 2012: 427.
[2]	郭凌燕 . 肠梗阻患者行胃肠减压的护理体会[J]. 中国医药指南, 2012,8(10):95-99. DOI URL
[3]	徐金中, 叶向红, 彭南海 . 1例肠瘘患者三种消化液同时回输联合肠内营养的护理[J]. 护理学杂志, 2015,30(12):34-35. DOI URL
[4]	江方正, 周洁, 叶向红 . 消化液回输方法及其护理的研究进展[J]. 解放军护理学杂志, 2013,30(20):33-36. DOI URL
[5]	朱晋国, 任建安, 王新波 , 等. 肠液回输对肠瘘患者肠内营养物质吸收的影响[J]. 中华普通外科杂志, 2006,21(10):65-66. DOI URL
[6]	范学朋, 柳梅, 冷德文 . 消化液回输在重症胰腺炎营养支持治疗中的应用[J]. 肠外与肠内营养, 2013,20(3):145-147,150. DOI URL
[7]	李世宽 . 成人肠梗阻围手术期的营养支持[J]. 肠外与肠内营养, 2016,23(6):321-325. DOI URL
[8]	彭南海, 黄迎春 . 肠外与肠内营养护理学[M]. 南京: 东南大学出版社, 2016: 108-109.
[9]	Hulst JM, Zwart H, Hop WC , et al. Dutch national survey to test the STRONG kids nutritional risk screening tool in hospitalized children[J]. Clin Nutr, 2010,29(1):106-111. DOI URL PMID
[10]	李辉, 李宗涵, 张德英 . 2005年中国九市七岁以下儿童体格发育调查[J]. 中华儿科杂志, 2007,16(8):609-614. DOI URL
[11]	叶向红, 张君芳, 刘炜 , 等. 1例十二指肠瘘患者早期肠内营养耐受性的评估及管理[J]. 中华护理杂志, 2016,51(9):1148-1150. DOI URL
[12]	王红玉, 晏东波, 刘威威 , 等. 胃液回输对住院ICU患者肠内营养支持效果的影响[J]. 世界华人消化杂志, 2016,24(6):947-951. DOI URL
[13]	郑冉冉 . 自体消化液回输联合肠内营养50例临床护理[J]. 吉林医学, 2012,33(18):4014. DOI URL
[14]	顾晓英, 李培 . 1例肠系膜上动脉压迫综合征患者行肠内营养治疗的护理[J]. 中华护理杂志, 2016,51(8):1023-1024. DOI URL
[15]	姚颖慧, 王福录 . 消化液回输的临床应用及护理[J]. 中国卫生标准管理, 2015,6(17):260-262. DOI URL
[16]	冯志芳 . 胆肠吻合术后经鼻空肠管胆汁回输及肠内营养的护理体会[J]. 现代中西医结合杂志, 2010,19(27):3523. DOI URL
[17]	刘天贶, 孙众, 王琦 . 咀嚼口香糖对促进腹部手术后胃肠道功能恢复的应用研究现状[J]. 护理学报, 2014,21(20):27-30.

肠梗阻患儿肠内营养联合消化液回输的护理

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