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分享IIPPT【成人肠内营养支持的护理】标准解读

  • 2026-05-31 06:13:39
分享IIPPT【成人肠内营养支持的护理】标准解读

你以为肠内营养就是"把管子一插、营养液一推"？

大错特错。

当胃残留量超过200ml，你还在继续匀速输注？当患者腹胀腹泻，你还在怪"营养液不好"？当喂养管堵了，你还在用清水随便冲冲？

每一个"以为"，都可能是一场并发症的起点。

2021年，中华护理学会重磅发布《成人肠内营养支持的护理》团体标准（T/CNAS10-2020），一纸规范，直指临床最容易被忽视的五大操作要点、五大并发症——

🔹 胃残留量200ml是调整速度的红线，500ml才是暂停喂养的临界值！🔹 冲管不是"随便冲冲"，而是20~30ml温开水脉冲式冲洗！🔹 营养液不是越快越好，而是20~50ml/h起步，由慢到快！🔹 误吸不是"等发生了再说"

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  1. CONNECT:[ UseTime:0.000541s ] mysql:host=127.0.0.1;port=3306;dbname=h_sjds;charset=utf8mb4
  2. SHOW FULL COLUMNS FROM `fenlei` [ RunTime:0.000764s ]
  3. SELECT * FROM `fenlei` WHERE `fid` = 0 [ RunTime:0.000335s ]
  4. SELECT * FROM `fenlei` WHERE `fid` = 63 [ RunTime:0.000268s ]
  5. SHOW FULL COLUMNS FROM `set` [ RunTime:0.000539s ]
  6. SELECT * FROM `set` [ RunTime:0.000221s ]
  7. SHOW FULL COLUMNS FROM `article` [ RunTime:0.000506s ]
  8. SELECT * FROM `article` WHERE `id` = 522165 LIMIT 1 [ RunTime:0.000536s ]
  9. UPDATE `article` SET `lasttime` = 1780396545 WHERE `id` = 522165 [ RunTime:0.005295s ]
  10. SELECT * FROM `fenlei` WHERE `id` = 64 LIMIT 1 [ RunTime:0.000401s ]
  11. SELECT * FROM `article` WHERE `id` < 522165 ORDER BY `id` DESC LIMIT 1 [ RunTime:0.000450s ]
  12. SELECT * FROM `article` WHERE `id` > 522165 ORDER BY `id` ASC LIMIT 1 [ RunTime:0.000445s ]
  13. SELECT * FROM `article` WHERE `id` < 522165 ORDER BY `id` DESC LIMIT 10 [ RunTime:0.000613s ]
  14. SELECT * FROM `article` WHERE `id` < 522165 ORDER BY `id` DESC LIMIT 10,10 [ RunTime:0.001119s ]
  15. SELECT * FROM `article` WHERE `id` < 522165 ORDER BY `id` DESC LIMIT 20,10 [ RunTime:0.001168s ]
0.083126s