ICU患者肠内营养相关性腹泻原因与对策研究进展  

Reasons and Countermeasures of Enteral Nutrition-Related Diarrhea in ICU Patients

作　　者：黄庆群 高小焕 蒋秋媛 王玉琴[1] 李巧 HUANG Qing-qun;GAO Xiao-huan;JIANG Qiu-yuan;WANG Yu-qin;LI Qiao(Guangxi Liuzhou People's Hospital,Liuzhou,Guangxi)

机构地区：[1]广西柳州市人民医院

出　　处：《世界最新医学信息文摘》2018年第17期33-34,共2页World Latest Medicine Information Electronic Version

摘　　要：重症监护病房(intensive care unit,ICU)患者在应激反应时呈高代谢状态,加强营养支持非常重要。一旦循环、呼吸平稳,即应实施营养支持,以维持与改善机体器官、细胞的代谢及功能,促进病人康复。研究证实只要小肠有吸收功能,肠内营养即为患者营养的首要途径。鼻饲法是将管道经鼻腔伸入胃内,将人体日常所需的流质食物、药、水等通过鼻腔管道直接灌入胃中的过程。它是一种简便、安全、符合人体生理的营养支持方法,但是鼻饲过程中并发症较多。腹泻作为肠内营养过程的最常见并发症,其发生率可高达60%,严重影响了患者的治疗效果,因此做好肠内营养相关腹泻的治疗和护理尤为重要。现将ICU患者肠内营养相关性腹泻原因与对策综述如下。Patients with intensive care unit(ICU)are highly metabolized during stress response,and it is important to enhance nutritional support.Once the circulation,breathing steady,the nutrition support should be implemented to maintain and improve the body's organs,cell metabolism and function,and promote patient rehabilitation.Studies confirm that as long as the small intestine has absorption,enteral nutrition is the primary way of patient nutrition.Nasal feeding method is the pipe through the nasal cavity into the stomach,the body's daily needs of liquid food,medicine,water,etc.through the nasal tube directly into the stomach process.It is a simple,safe,and human-physiologically supported method of nutritional support,but there are more complications during nasal feeding.Diarrhea as the most common complication of enteral nutrition,the incidence can be as high as 60%,seriously affecting the patient's treatment,therefore,good treatment and nursing of enteral nutrition-related diarrhea is particularly important.Now ICU patients with enteral nutrition-related causes of diarrhea and countermeasures are summarized as below

关 键 词：重症监护病房 肠内营养相关性腹泻 原因分析 对策 

分 类 号：R473.73[医药卫生—护理学]