护士进修杂志2024,Vol.39Issue(12) :1331-1334.DOI:10.16821/j.cnki.hsjx.2024.12.018

1例喉移植患者术后多学科营养支持护理

Multidisciplinary nutritional support nursing care of a patient after laryngeal transplantation

陈小婷 辜德英 刘雨萱 蔡佩玲 陈飞 余蓉 赵会玲
护士进修杂志2024,Vol.39Issue(12) :1331-1334.DOI:10.16821/j.cnki.hsjx.2024.12.018

1例喉移植患者术后多学科营养支持护理

Multidisciplinary nutritional support nursing care of a patient after laryngeal transplantation

陈小婷 1辜德英 1刘雨萱 2蔡佩玲 3陈飞 1余蓉 1赵会玲1
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作者信息

  • 1. 四川大学华西医院耳鼻咽喉头颈外科,四川成都 610041
  • 2. 成都大学临床医学院,四川成都 610106
  • 3. 成都大学基础医学院,四川成都 610106
  • 折叠

摘要

总结2023年4月29日亚洲首例喉移植患者术后多学科的营养支持护理经验.护理要点包括组建多学科营养管理团队;实施精准化的营养支持:选择恰当的方法建立鼻饲管路、精准配制营养制剂、遵循营养制剂喂养原则、预防误吸、保持鼻饲管道固定通畅、适时监测及处理营养喂养并发症;定期监测营养指标,适时调整营养补给方案,促进患者早期康复.患者术后68 d恢复良好,体质量67 kg,BMI为21.63 kg/m2,血红蛋白89 g/L,总蛋白62.9 g/L,白蛋白39.2 g/L,球蛋白20.7 g/L,身体各项指标达到出院标准,情绪稳定,生活基本自理,顺利出院.

Abstract

Objective This paper summarized the experience of multidisciplinary nutritional support nursing care of the first patient after laryngeal transplantation in Asia on April29,2023.The key points of nursing included:Es-tablishment of a multi-disciplinary nutrition management team;Implement foraccurate nutritional support which in-cluding choosing appropriate methods to establish nasal feeding pipeline,accurately preparing nutritional prepara-tions,following the feeding principles of nutritional preparations,preventing misinhalation,keeping the nasal feeding tube fixed and unobstructed,timely monitoring,and dealing with nutritional feeding complications;Periodic monitor of nutritional indicators,timely adjustment of nutritional supplement programs to promote patients'early rehabilita-tion.The patient recovered well 68 days after operation,with the body weight of 67 kg,BMI 21.63 kg/m2,hemo-globin 89 g/L,total protein 62.9 g/L,albumin 39.2 g/L,and globulin 20.7 g/L.All physical indicators reached the discharge standard,and emotional stability,basic self-care,and smoothlydischarge.

关键词

器官移植/喉移植/多学科/营养支持/护理

Key words

organ transplantation/laryngeal transplantation/multidisciplinary/nutritional support/nursing

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基金项目

四川省干部保健课题(川干研2023-128)

出版年

2024
护士进修杂志
贵州省医药卫生学会办公室

护士进修杂志

CSTPCDCSCD
影响因子:2.59
ISSN:1002-6975
参考文献量8
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