呼吸机撤机拔管后患者营养支持研究进展

Research Progress on Nutritional Support of Patients after Ventilator Weaning and Extubation

随着医学的发展,呼吸机技术成为治疗各种重症的重要手段。但随着呼吸机的广泛应用,人们发现长时间使用呼吸机容易导致各种并发症的发生,尤其是发生呼吸机依赖,导致患者呼吸机撤机困难。目前认为,营养支持可减少呼吸机相关并发症的发生,有效降低呼吸机依赖的发生率,提高呼吸机撤机成功率,促进患者康复。本文就呼吸机依赖问题进行展开研究,以撤机困难的常见原因、营养干预对呼吸机撤机的影响及营养干预的主要方式进行综述,进一步为减少临床呼吸机撤机困难的干预措施提供依据。

With the development of medical sciences,the mechanical ventilation technique has been developed on treatment of serious illness.With its wide application,a variety of ventilator-associated complications may be produced in the long term.In particular,the occurrence of ventilator dependence,resulting in patients with difficult ventilator weaning.It is currently believed that nutritional support can reduce the occurrence of ventilator-related complications,effectively reduce the incidence of ventilator dependence,improve the success rate of ventilator weaning,and promote the recovery of patients.In this paper,ventilator dependence is studied,and the effects of nutritional intervention on ventilator withdrawal and the main ways of nutritional intervention are reviewed to further provide evidence for intervention measures to reduce clinical ventilator withdrawal difficulties.