危重患儿俯卧位通气肠内营养管理方案的构建及应用研究

doi:10.3761/j.issn.2096-7446.2026.01.003

摘要/Abstract

摘要：

目的构建危重患儿俯卧位通气肠内营养管理方案并评价其应用效果。方法基于前期证据总结，通过德尔菲专家函询构建该方案。采用方便抽样法，2023年1月—2024年10月选择200例入住吉林省某三级甲等医院PICU的俯卧位通气患儿作为应用对象，试验组采用该方案进行肠内营养治疗，对照组采用PICU常规肠内营养治疗。比较两组喂养不耐受症状发生率、肠内营养目标热量达标率、喂养中断时间。结果试验组喂养不耐受症状发生率、喂养中断时间低于对照组；试验组肠内营养目标热量达标率高于对照组，差异具有统计学意义（均P<0.05）。结论应用该方案可降低俯卧位通气患儿喂养不耐受症状发生率，减少喂养中断时间，提高喂养达标率。

关键词: 儿科重症监护, 俯卧位通气, 肠内营养, 喂养不耐受, 护理

Abstract:

Objective To develop an enteral nutrition program for critically ill children with prone position ventilation and evaluate its application effectiveness. Methods A prone position ventilation enteral nutrition program for critically ill children was developed through Delphi expert consultation based on the previous evidence. Using a convenience sampling method，200 patients with prone position ventilation admitted to the Pediatric Intensive Care Unit（PICU） of a tertiary class A hospital in Jilin Province from December 2023 to October 2024 were enrolled. The experimental group received enteral nutrition treatment based on the prone position ventilation enteral nutrition program for critically ill children，while the control group received conventional enteral nutrition treatment in the PICU. The incidence of feeding intolerance symptoms，target caloric achievement rate for enteral nutrition，and interruption time of enteral feeding were compared between the two groups. Results The incidence of feeding intolerance symptoms and feeding interruption time in the experimental group were lower than those in the control group. The target caloric achievement rate of enteral nutrition in the experimental group was higher than that in the control group. The differences were statistically significant（all P<0.05）. Conclusion The application of the prone position ventilation enteral nutrition program for critically can reduce the incidence of feeding intolerance symptoms，shorten feeding interruption time，and improve the feeding compliance rate in children receiving prone position ventilation.

Key words: Pediatric Intensive Care, Prone Position Ventilation, Enteral Nutrition, Feeding Intolerance, Nursing Care

张纪平, 赵晓霜, 孙海瑞, 胡莉莉, 张丹, 鞠丽婷, 薛耀康, 张葆荣. 危重患儿俯卧位通气肠内营养管理方案的构建及应用研究[J]. 中华急危重症护理杂志, 2026, 7(1): 23-29.

ZHANG Jiping, ZHAO Xiaoshuang, SUN Hairui, HU Lili, ZHANG Dan, JU Liting, XUE Yaokang, ZHANG Baorong. Construction and application of an enteral nutrition management program for critically ill children with prone position ventilation[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(1): 23-29.

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