成批爆炸致特重度烧伤患者肠内营养支持的护理

摘要

目的：探讨成批爆炸致特重度烧伤患者肠内营养支持护理要点。方法对本科室收治的15例特重度烧伤患者进行肠内营养支持治疗，并配合做好护理工作。结果5例患者伤后45～87 d因缺少自体皮源，并发脓毒血症死亡，10例患者经过肠内营养支持、抗感染等治疗护理，营养状况得到改善，安全度过感染期，进入恢复期；患者ICU住院时间54～115 d，平均（90．63±30．37）d。结论特重度烧伤患者采取早期肠内营养支持及护理，能够有效改善患者营养状况，促进患者康复。营养支持期间应做好管饲护理，预防早期肠内营养发生的并发症等，其是顺利完成肠内营养支持的重要措施。%Objective To explore nursing points on the enteral nutrition support to batched patients with severe burn caused by explosion. Method An enteral nutrition support was carried out for 15 patients with severe burns admitted in our department and pertinent nursing was performed. Results Five patients died because of lack of autologous skin sources and complications of sepsis in 45~87 d after burn. Ten patients got a good recovery after enteral nutrition support, anti-infection treatment and nursing. They lived through the infection period, went into the recovery period. The hospital stay of these patients in ICU was 54~115 d with an average of (90.63 ± 30.37)d. Conclusion Early enteral nutrition support and nursing to the patients with severe burn can improve the nutritional status of patients effectively and promote the rehabilitation of patients.