摘要
在重症监护患者的治疗过程中,肠内营养支持是机械通气患者有效的护理手段,误吸是肠内营养支持过程中的常见的并发症。该综述围绕机械通气患者检测误吸的方法和预防手段展开,归纳了误吸试验法的技术特点,具体包括分泌物评估法、亚甲蓝染色法、食用色素法;系统地总结了喂养途径、喂养方式、营养液的灌注速度和入量、营养配方、卧位、气道管理等预防措施。对实施机械通气患者的肠内营养支持有一定的借鉴作用。
Enteral nutrition support is an effective nursing approach for critically ill patients on mechanical ventilation in intensive care units,of which aspiration is a common complication.Here is a review focusing on the detection and preventive methods of aspiration in patients on mechanical ventilation,with summaries of the technical characteristics regarding different aspiration testing methods,including secretion assessment,methylene blue staining and edible pigment marking method.The preventive measures are systematically summarized,covering feeding route,feeding mode,infusion rate and amount of nutrient solution,nutritional formula,lying position and airway management.This review can provide reference for the implementation of enteral nutrition support in patients on mechanical ventilation.
作者
黄迎春
张晶
俞萍
Huang Yingchun;Zhang Jing;Yu Ping(First Outpatient Department,Eastern Theater General Hospital,Nanjing 210002,China)
出处
《中华临床营养杂志》
CAS
CSCD
2021年第6期368-372,共5页
Chinese Journal of Clinical Nutrition
关键词
机械通气
肠内营养
误吸检测方法
误吸预防
Mechanical ventilation
Enteral nutrition
Aspiration detection method
Aspiration prevention
