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

Abstract

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

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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[1]	徐婷婷, 张伟英, 顾婵娟, 等. 急性呼吸窘迫综合征患儿体外膜肺氧合下俯卧位通气的护理[J]. 中华急危重症护理杂志, 2021, 2(4):351-354.
	Xu TT, Zhang WY, Gu CJ, et al. Nursing care of prone position ventilation with extracorporeal membrane oxygenation in children with acute respiratory distress syndrome[J]. Chinese Journal of Critical Care Nursing, 2021, 2(4):351-354.
[2]	张丹, 胡莉莉, 孙海瑞, 等. 儿童俯卧位通气肠内营养管理的最佳证据总结[J]. 中华现代护理杂志, 2024, 30(22):2971-2977.
	Zhang D, Hu LL, Sun HR, et al. Summary of best evidence for enteral nutrition management in children with prone position ventilation[J]. Chin J Mod Nurs, 2024, 30(22):2971-2977.
[3]	沈静丽, 杨玉霞, 顾莺, 等. 儿科重症监护病房患者肠内营养支持现况及其临床结局分析[J]. 中国护理管理, 2024, 24(8):1181-1186.
	Shen JL, Yang YX, Gu Y, et al. Analysis of the current status and clinical outcomes of enteral nutrition support in pediatric intensive care unit patients[J]. Chin Nurs Manag, 2024, 24(8):1181-1186.
[4]	刘巾禹. 危重症婴幼儿肠内营养喂养不耐受列线图预测模型的构建与验证[D]. 扬州: 扬州大学, 2024.
	Liu JY. Construction and verification of nomogram prediction model for enteral nutrition feeding intolerance in critically ill infants[D]. Yangzhou: Yangzhou University, 2024.
[5]	解弘宇, 王丽杰. PICU病儿喂养不耐受危险因素及营养相关结局的研究[J]. 肠外与肠内营养, 2024, 31(5):268-274.
	Xie HY, Wang LJ. Risk factors for enteral feeding intolerance and nutrition related outcomes in critically ill pediatric patients[J]. Parenter Enter Nutr, 2024, 31(5):268-274.
[6]	Saez de la Fuente I, Saez de la Fuente J, Quintana Estelles MD, et al. Enteral nutrition in patients receiving mechanical ventilation in a prone position[J]. JPEN J Parenter Enteral Nutr, 2016, 40(2):250-255. doi: 10.1177/0148607114553232 pmid: 25274497
[7]	杨玉霞, 陆国平, 顾莺, 等. 儿科重症监护病房患儿肠内营养中断的研究[J]. 护理学杂志, 2024, 39(16):94-98.
	Yang YX, Lu GP, Gu Y, et al. Observational study on enteral nutrition interruption in children in pediatric intensive care unit[J]. J Nurs Sci, 2024, 39(16):94-98.
[8]	高恒妙, 钱素云. 危重症儿童肠内营养时应关注的重点问题[J]. 肠外与肠内营养, 2020, 27(6):321-324.
	Gao HM, Qian SY. Key problems to be paid attention to in enteral nutrition for critically ill children[J]. Parenter Enter Nutr, 2020, 27(6):321-324.
[9]	中华医学会肠外肠内营养学分会儿科学组, 中华医学会小儿外科学分会新生儿外科学组, 中华医学会小儿外科学分会肛肠学组, 等. 儿童围手术期营养管理专家共识[J]. 中华小儿外科杂志, 2019, 40(12):1062-1070.
	Pediatric Group of Parenter and Enteral Nutrition Branch of Chinese Medical Association, Neonatal Surgery Group of Pediatric Surgery Branch of Chinese Medical Association, Anorectal Group of Pediatric Surgery Branch of Chinese Medical Association, et al. Expert consensus on perioperative nutrition management in pediatrics[J]. Chin J Pediatr Surg, 2019, 40(12):1062-1070.
[10]	Rollins H. Nasojejunal tube feeding in children:knowledge and practice[J]. Br J Community Nurs, 2018, 23(Sup7):S7-S12. doi: 10.12968/bjcn.2018.23.Sup7.S7
[11]	Boullata JI, Carrera AL, Harvey L, et al. ASPEN safe practices for enteral nutrition therapy[J]. J Parenter Enteral Nutr, 2017, 41(1):15-103. doi: 10.1177/0148607116673053
[12]	岳明叶, 王爽, 邓永鸿, 等. 先天性心脏病患儿围术期喂养不耐受管理的最佳证据总结[J]. 循证护理, 2024, 10(21):3831-3837.
	Yue MY, Wang S, Deng YH, et al. Summary of the best evidence for the management of perioperative feeding intolerance in children with congenital heart disease[J]. Chin Evid Based Nurs, 2024, 10(21):3831-3837.
[13]	罗永田, 孙慧, 蒋支贵. 小儿危重病例评分法对儿童重症监护病房患儿的评估效果[J]. 中国医药, 2022, 17(1):80-83.
	Luo YT, Sun H, Jiang ZG. The evaluation effect of pediatric critical illness scoring system on children in pediatric intensive care unit[J]. China Med, 2022, 17(1):80-83. doi: 10.1186/s13020-022-00636-1
[14]	邵彤, 郭洁, 王军娜, 等. 危重症患儿肠内营养中断预防与管理的最佳证据总结[J]. 中华现代护理杂志, 2023, 29(20):2759-2765.
	Shao T, Guo J, Wang JN, et al. Best evidence summary of prevention and management of enteral nutrition interruption in critically ill children[J]. Chin J Mod Nurs, 2023, 29(20):2759-2765.
[15]	安祥, 钟义, 刘晓玲, 等. 重症监护室俯卧位通气病人实施肠内营养循证护理实践[J]. 全科护理, 2025, 23(1):115-120.
	An X, Zhong Y, Liu XL, et al. Evidence-based nursing practice of enteral nutrition for patients with prone position ventilation in intensive care unit[J]. Chin Gen Pract Nurs, 2025, 23(1):115-120.

Construction and application of an enteral nutrition management program for critically ill children with prone position ventilation

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