本文针对临床工作中重症患者肠内营养中断导致喂养不达标这一问题进行了研究分析,分别从不可抗力因素,患者自身因素以及机械因素三方面进行分析,重点分析了前两方面。不可抗力因素主要包括气道相关操作(插管,气切,拔管等)及临床处置(手术,检查等)。患者自身因素主要包括腹泻,胃潴留等。本文结合基于容量喂养,半固化喂养,以及临床胃超声等多种方案,针对不同原因导致的肠内营养中断现象分别给予了不同的处理方案,为临床护理工作提供不同角度的研究思路。This article analyzes the problem of feeding substandard caused by interruption of enteral nutrition in critically ill patients in clinical practice, The analysis was carried out from three aspects: force majeure factors, patient’s own factors and mechanical factors, focusing on the first two aspects. Force majeure factors mainly include airway-related operations (intubation, tracheotomy, extubation, etc). and clinical treatment (surgery, examination, etc). The patient’s own factors mainly include diarrhea and gastric retention. In this paper, combined with a variety of programs based on volumetric feeding, semi-solidified feeding, and clinical gastric ultrasound, different treatment plans were given for the interruption of enteral nutrition caused by different reasons, so as to provide research ideas from different perspectives for clinical nursing.
