全静脉营养治疗新生儿坏死性小肠结肠炎的护理

Nursing of patients with neonatal necrotizingenterocolitis by treated total parenteral nutrition

目的 探讨全静脉营养治疗新生儿坏死性小肠结肠炎的有效护理方法。方法 对 4 5例NEC病人给予全静脉营养 ,同时采用独特的护理方法 (如新生儿胃肠减压法负压持续吸引 )及有效的预防措施。结果 平均静脉营养时间 10 .5天 ,治愈率 71.1%。结论 静脉营养是治疗新生儿坏死性肠炎的有效措施 。

Objective To explore the efficient nursing care of patients with neonatal necrotizing enterocolitis (NEC) treated by total parenteral nutrition(TPN) .Methods Forty-five patients with NEC were treated by TPN, and given special nursing (for example newborn gastrointestinal decompression-negative pressure aspiration), and effictive prevention methods . Results In 45 cases,the average time of TPN was 10 days,and the cure rate was 71.1%.Conclusion The key of TPN that is success depend on suitabal prescription and use.Notice on nursing:The patients with vomit, abdominal distention should be special nursed and begining feed should be in good time after prohibited feed. Second: it must prevent the intralipidleakage and aseptic manipulation. Third:taking care of body weight,blood sugar,blood gas analysis,platelets,bilirubin.