大面积烧伤病人早期胃肠道营养的护理  

Nursing of Large Area Burn Patients with Gastrointestinal Tract Nutrition Support at the Early Stage

作　　者：王翠珍[1] 

机构地区：[1]山东省临朐县人民医院,262600

出　　处：《中国烧伤创疡杂志》2000年第4期43-44,共2页The Chinese Journal of Burns Wounds & Surface Ulcers

摘　　要：目的 :探讨严重烧伤早期胃肠道营养护理的实用方法。方法 :5年来对32例严重烧伤病人实行了早期营养液消化道管饲方法 ,同时加用促胃动力药物。营养液喂养方法本着尽早开始 ,少量多餐、全面、平衡、循序渐近的原则。结果 :32例病人在治疗过程中均有较好的耐受性 ,在提供足量营养成份的同时 ,也减少了血浆及全血的输入量 ,保持了水、电解质的平衡 ,有利于休克复苏。结论 :烧伤面积在 50 %以上的大面积烧伤病人 ,伤后早期恢复肠道营养方法实用 ,疗效可靠 ,有利于休克复苏和全病程的治疗。Objective: To find a practical method for nursing of severely burned patients with gastrointestinal nutrition support. Method: 32 cases of severely burned patients received digestive tract nutrition support by intubation at the early stage, associated with administration of gastric motility promoting drug. The nutrition support should be applied early, and frequently, in small doses. Nutrients should keep in balance, completeness and be given in an orderly way. Result: all the patients showed good tolerance in the whole course of treatment. The volume of plasma and whole blood infusion was reduced. Water and electrolytes were kept in balance and therefore, it was favorable to the shock resuscitation of the patients. Conclusion: Patients with more than 50% BSA burn should receive nutrition support through gastrointestinal tract. This method is reliable and beneficial to shock resuscitation and the whole course of the treatment. [

关 键 词：大面积烧伤 胃肠道营养 护理 

分 类 号：R473.6[医药卫生—护理学] R644[医药卫生—临床医学]