大面积烧伤病人的营养支持护理

Nutritional support of the major burns

目的探讨大面积烧伤病人营养护理的有效方法。方法对79例大面积烧伤病人营养供给全部以口服和末梢静脉穿刺或插管为主,辅以营养液消化道管饲,并监测、外周静脉血,总蛋白(T—Pro)、白蛋白(Alb)、血红蛋白(Hb)、淋巴细胞(LYNPH)、白细胞(WDC)、Fn、IgG值和每日入出氮量。结果79例病人病程经过平稳,全部治愈出院。各项监测指标随病情好转、创面覆盖而改善并恢复,病人伤后6周实现正氮平衡的同时,也减少了血浆及全血的输入量,保持了水、电解质的平衡。结论营养护理关系到营养支持的成败,大面积烧伤的营养支持宜采用胃肠道与静脉营养相结合的原则。

[Objective]To sduty the effective nutritional support of the major bums. [Methods] 79 major burned patients were supported with intravenous by periph-venipuncture or PeV cannula, combing with parenteral nutrition such as taken by mouth or tube feeding. Then, established 30 health adults as the control group, to monitor the levels of TSP, AL Hb, LY, WBC and the IgG in the peripheral blood and record the intake and output volume of nitrogen everyday. [Results] The courses of disease were steady, and all the 79 eases were fully recovered, every monitor index were improving as the patients recovering and wound healing, and they get positive nitrogen balance after 6 postbum weeks. [Conclusion] The principal of the nutrition support to those major bums was to give nutrition by both intravenous nutrition and parenteral routes. The proper nutritional support nursing was an important meas to the nutritional support of the major bums.