多发肠瘘患者分段式肠内营养联合消化液回输的护理  

Nursing Practice of Sub-Segmental Enteral Nutrition Combined Reinfusion of Succus Entericus for Patients with Multiple Intestinal Fistula

作　　者：江方正[1] 宋湘玲[1] 赵雪成 叶向红[1] 李维勤[1] 赵允召[2] 任建安[2] 

机构地区：[1]南京军区南京总医院普通外科研究所重症监护室,江苏南京210002 [2]南京军区南京总医院普通外科研究所八区

出　　处：《解放军护理杂志》2015年第12期39-42,共4页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的探讨多发肠瘘患者分段式肠内营养联合消化液回输的护理方法。方法回顾性分析2011年1月至2012年12月南京军区南京总医院普通外科研究所重症监护室(intensive care unit,ICU)内23例多发肠瘘患者实施分段式肠内营养联合消化液回输的管理方法。分段式肠内营养包括制剂选择及配制、使用时机和途径、输注原则及"六度"管理、管道的管理、营养代谢的监测,以及消化液回输管理、瘘口的管理、功能锻炼等措施。结果 23例患者在实施分段式肠内营养期间,通过积极的消化液回输管理和功能锻炼,以保证营养物质充分消化吸收,全部达到理想效果,为患者后续治疗提供保障。结论分段式肠内营养联合消化液回输的方法是多发肠瘘患者实施肠内营养的重要手段,良好的管理可有效预防相关并发症的发生,为一次性确定手术治疗提供保障。Objective To discuss the nursing measures of sub-segmental enteral nutrition combined reinfusion of succus entericus for patients with multiple intestinal fistula.Methods Clinical data of 23 cases of patients were analyzed retrospectively. Sub-segmental enteral nutrition include formulations selection and preparation, usage timing and pathway,infusion principle and ＇ six degrees＇ management, pipeline manage- ment, nutritional metabolic monitoring, and succus entericus reinfusion management, fistula management, functional exercise and other measures.Results All 23 patients had achieved excellent effects through the actively succus entericus reinfused management and functional exercise, to ensure the nutrients fully digested and absorbed,which guaranteed the follow-up treatment of patients.Conclusion Sub-segmental enteral nutrition combined succus entericus reinfusion is a key method to implement the enteral nutrition,which can effectively manage and prevent the incidence of relevant complications, and guarantee the one time operation.

关 键 词：多发肠瘘 分段式肠内营养 消化液回输 

分 类 号：R574[医药卫生—消化系统]