PAGEPAGE8特重烧伤后肠源性感染的预防及护理林明南【摘要】目的:探讨特重烧伤后肠源性感染的预防及护理方法。方法：对我院收治的197例特重烧伤患者资料进行分析，选患者中30例发生肠源性感染，根据患者治疗后肠源性感染预防及护理对策将患者分为对照组和实验组，对照组采用常规方法预防护理，实验组采用综合性方法预防护理，比较两组预防护理效果。结果：197例特重烧伤患者中27例初诊早期肠源性感染，感染发生率为12.3%，29例伤后48h禁食且伴休克，肠源性感染发生率为39.4%；94例伤后48h禁食，肠源性感染发生率为9.4%；23例伤后早期肠道营养伴休克肠源性感染发生率为21.8%；94例伤后早期肠道营养肠源性感染发生率为3.1%；实验组预防、护理后心理顾虑评分、生理问题评分、信任感评分，显著高于对照组（P<0.05）。结论：特重烧伤后实施综合性方法预防护理能够降低肠源性感染发生率，值得推广使用。【关键词】特重烧伤；肠源性感染；预防；护理方法ExtraordinarilysevereburnsafterintestinalinfectionpreventionandNursingStrategyAbstractObjective:Objective:tostudytheheavyburnsafterenterogenicinfectionpreventionandnursingmethods.Methods:thedataof197extraheavyburnpatientsofourhospitalwereanalyzed,andtheselectedpatients30casesoccurredenterogenicinfection,accordingtotheaftertreatmentinpatientswithenterogenousinfectionpreventionandnursingcountermeasuresforpatientsdividedintocontrolgroupandexperimentalgroupandcontrolgroupusingconventionalmethodspreventivecare,experimentalgroupbyadoptingthemethodofcomprehensivepreventionandcare,comparedtwogroupsofpreventivecare.Results:197casesofextraheavyburnpatientswas27casesearlyenterogenicinfection,theincidenceofinfectionwas12.3%,29casesfastand48hafterinjurywithshock,enterogenicinfectionratewas39.4%;94casesof48hafterfasting,enterogenicinfectionratewas9.4%;23casesofearlyenteralnutritionafterinjurywithshockenterogenicinfectionratewas21.8%;94casesofearlyenteralnutritionafterinjuryenterogenicinfectionratewas3.1%;Preventionandnursinggroupafterpsychologicalconcernsagrade,thephysiologicalproblems,trustratings,issignificantlyhigherthancontrolgroup(P<0.05).Conclusion:extraheavyburnafterimplementationofacomprehensivepreventivenursingmethodcanreducetheincidenceofenterogenicinfection,worthyofpromotionofuse.Keywordssevereburn;intestinalinfection;prevention;caremethods特重烧伤是指全身烧伤总面50%达以上或Ⅲ度烧伤总面20%以上的烧伤。它在临床上比较常见，发病率较高，且随着人们生活节奏的加快其发病率出现上升趋势，它是由于肠黏膜屏障功能受到损害，从而容易造成患者代谢异常，营养不良，感染风险的增加以及细胞功能的改变，造成患者免疫防御功能低下，肠道微生物生态学发生改变，严重者将会造成肠源性感染[1]。根据相关研究结果显示[2]：肠源性感染发生率和烧伤患者失血性休克