15例特重度烧伤俯卧位通气患者早期幽门后喂养不减速的护理

Nursing care of non-slow down post-pyloric feeding for 15 severe burn patients with prone ventilation

总结15例特重度烧伤俯卧位通气患者早期幽门后喂养不减速的实施经验与成效。护理内容主要如下。构建多学科俯卧位通气肠内营养团队,动态调整个性化精准营养方案,管理喂养目标速率,实施以腹内压指导下的喂养不减速策略,有效预防胃肠不耐受。15例患者经精心护理后,24~48 h内肠内营养达标率为20%~60%,1周肠内营养达标率为50%~95%,胃肠耐受较好,以腹内压为目标导向的早期幽门后喂养不减速在特重度烧伤俯卧位通气患者中的应用安全有效。

To summarize the experience and effectiveness of non-slow down post-pyloric feeding in 15 severe burn patients with prone position ventilation.We established a multi-disciplinary prone position ventilation and enteral nutrition team,dynamically adjusted the personalized and precise nutrition plans,managed the target feeding rate,and implemented the intra-abdominal pressure oriented and non-slow down feeding strategy,and effectively prevented gastrointestinal intolerance.After careful care of 15 patients,the standard rate of enteral nutrition within 24 to 48 hours was 20%~60%,and the standard rate within a week was 50%to 95%.The gastrointestinal tolerance was good.The intra-abdominal pressure oriented and early post-pyloric non-slow down feeding is safe and effective in severe burn patients with prone ventilation.