【每日一学】临床护理操作规范流程——鼻饲 全国有哪些医学类大专院校有3+2临床专业
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1 \u65b0\u5f62\u52bf\u4e0b\u533b\u5b66\u751f\u804c\u4e1a\u9053\u5fb7\u6559\u80b2\u7684\u91cd\u8981\u6027
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1.1 \u533b\u751f\u804c\u4e1a\u7684\u5d07\u9ad8\u795e\u5723\uff0c\u6709\u5fc5\u8981\u91cd\u6e29\u5e0c\u6ce2\u514b\u62c9\u5e95\u8a93\u8a00
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1.2 \u533b\u751f\u804c\u4e1a\u7684\u9ad8\u98ce\u9669\uff0c\u6709\u5fc5\u8981\u91cd\u7533\u804c\u4e1a\u7406\u60f3\u6559\u80b2
\u804c\u4e1a\u7406\u60f3\u6559\u80b2\u65e2\u662f\u804c\u4e1a\u6559\u80b2\uff0c\u4e5f\u662f\u7406\u60f3\u6559\u80b2\uff0c\u66f4\u662f\u4e00\u79cd\u804c\u4e1a\u9053\u5fb7\u6559\u80b2\u3002\u533b\u751f\u662f\u4e00\u4e2a\u4e0e\u5371\u9669\u3001\u98ce\u9669\u76f8\u4f34\u7684\u804c\u4e1a\u3002\u4e0d\u8bba\u662f\u9f20\u75ab\u3001\u5929\u82b1\u3001\u9ebb\u98ce\u75c5\u3001\u827e\u6ecb\u75c5\uff0c\u5305\u62ec\u521a\u521a\u8fc7\u53bb\u7684SARS\u7b49\u4f20\u67d3\u6027\u75ab\u75c5\uff0c\u8fd8\u662f\u653e\u5c04\u6027\u635f\u4f24\u3001\u5316\u5b66\u6bd2\u7269\u4f24\u5bb3\u3001\u9488\u523a\u611f\u67d3\u7b49\u5371\u9669\u6027\u56e0\u7d20\uff0c\u90fd\u66fe\u7ed9\u65e0\u6570\u533b\u751f\u7684\u751f\u547d\u9020\u6210\u5a01\u80c1\u3002\u6559\u5b66\u533b\u9662\u6709\u8d23\u4efb\u901a\u8fc7\u804c\u4e1a\u7406\u60f3\u6559\u80b2\u6765\u5f15\u5bfc\u533b\u5b66\u751f\u7684\u804c\u4e1a\u65b9\u5411\uff0c\u57f9\u517b\u533b\u5b66\u751f\u7684\u804c\u4e1a\u9053\u5fb7\u548c\u656c\u4e1a\u7cbe\u795e\u3002\u65e2\u7136\u9009\u62e9\u4e86\u533b\u751f\u804c\u4e1a\uff0c\u5c31\u610f\u5473\u7740\u9009\u62e9\u4e86\u4e0e\u5176\u76f8\u5bf9\u5e94\u7684\u8d23\u4efb\u548c\u98ce\u9669\u3002\u56e0\u4e3a\u53ea\u6709\u61c2\u5f97\u533b\u5b66\u4e8b\u4e1a\u524d\u8def\u8270\u8f9b\uff0c\u624d\u6709\u90a3\u4e9b\u4e0d\u754f\u8270\u9669\u3001\u524d\u8d74\u540e\u7ee7\u7684\u6500\u767b\u8005\uff1b\u53ea\u6709\u61c2\u5f97\u751f\u547d\u7684\u5b9d\u8d35\uff0c\u5bf9\u4e8e\u751f\u547d\u7684\u65e0\u6bd4\u70ed\u7231\uff0c\u624d\u6709\u4e86\u90a3\u4e9b\u7528\u751f\u547d\u53bb\u5b88\u62a4\u751f\u547d\uff0c\u7528\u751f\u547d\u53bb\u6362\u53d6\u751f\u547d\u7684\u52c7\u6562\u800c\u65e0\u79c1\u7684\u732e\u8eab\u8005\u3002\u5728\u8fc7\u53bb\u7684\u90a3\u573a\u6297\u51fb\u201c\u975e\u5178\u201d\u7684\u6218\u6597\u4e2d\uff0c\u767d\u8863\u6218\u58eb\u7528\u81ea\u5df1\u7684\u884c\u52a8\u8be0\u91ca\u4e86\u533b\u52a1\u5de5\u4f5c\u8005\u6551\u6b7b\u6276\u4f24\u3001\u65e0\u79c1\u5949\u732e\u7684\u6df1\u523b\u5185\u6db5\uff0c\u8df5\u884c\u7740\u5fd7\u613f\u732e\u8eab\u533b\u5b66\u7684\u5e0c\u6ce2\u514b\u62c9\u5e95\u8a93\u8a00\uff0c\u6210\u4e3a\u6ca1\u6709\u785d\u70df\u7684\u6218\u573a\u4e0a\u6700\u53ef\u7231\u7684\u4eba\u3002\u6b63\u5982\u9a6c\u514b\u601d\u8bf4\u7684\uff1a\u201c\u6211\u4eec\u8981\u9009\u62e9\u6700\u80fd\u4e3a\u4eba\u7c7b\u800c\u5de5\u4f5c\u7684\u804c\u4e1a\uff0c\u8fd9\u6837\uff0c\u6211\u4eec\u7684\u5e78\u798f\u5c06\u5c5e\u4e8e\u5343\u767e\u4e07\u4eba\uff0c\u6211\u4eec\u7684\u4e8b\u4e1a\u5c06\u6084\u7136\u65e0\u58f0\u5730\u5b58\u5728\u4e0b\u53bb\u3002\u800c\u9762\u5bf9\u6211\u4eec\u7684\u9aa8\u7070\uff0c\u9ad8\u5c1a\u7684\u4eba\u5c06\u6d41\u4e0b\u70ed\u6cea\u201d\u3002\u533b\u5b66\u751f\u7684\u804c\u4e1a\u7406\u60f3\u6559\u80b2\u5728\u5f53\u4eca\u663e\u5f97\u5c24\u5176\u91cd\u8981\u3002
1.3 \u533b\u7597\u4f53\u5236\u5546\u4e1a\u5316\u3001\u5e02\u573a\u5316\u503e\u5411\u4e0b\uff0c\u6709\u5fc5\u8981\u91cd\u89c6\u804c\u4e1a\u9053\u5fb7\u6559\u80b2
\u5f53\u524d\u6211\u56fd\u7684\u533b\u7597\u884c\u4e1a\u6b63\u9762\u4e34\u793e\u4f1a\u8f6c\u578b\u65f6\u671f\u7684\u4e25\u5cfb\u6311\u6218\uff0c\u533b\u60a3\u5173\u7cfb\u51fa\u73b0\u7d27\u5f20\u8d8b\u52bf\uff0c\u6c11\u4f17\u5bf9\u4e8e\u8fd9\u6837\u4e00\u4e2a\u4eba\u9053\u7684\u804c\u4e1a\u8868\u73b0\u51fa\u8f83\u4f4e\u843d\u7684\u4fe1\u5fc3\uff0c\u4e3a\u7ef4\u62a4\u533b\u751f\u804c\u4e1a\u7684\u795e\u5723\u548c\u9ad8\u5c1a\uff0c\u6211\u4eec\u5bf9\u533b\u5b66\u751f\u7684\u804c\u4e1a\u9053\u5fb7\u6559\u80b2\u8feb\u5728\u7709\u776b\u3002\u4ece\u76ee\u524d\u533b\u7597\u670d\u52a1\u4f53\u7cfb\u73b0\u72b6\u770b\uff0c\u826f\u597d\u7684\u804c\u4e1a\u9053\u5fb7\u662f\u80dc\u4efb\u533b\u7597\u5de5\u4f5c\u7684\u524d\u63d0\u3002\u968f\u7740\u4eba\u4eec\u751f\u6d3b\u6c34\u5e73\u7684\u4e0d\u65ad\u63d0\u9ad8\uff0c\u4eba\u4eec\u5bf9\u533b\u7597\u7684\u9700\u8981\u5df2\u8f6c\u5411\u5eb7\u590d\u6cbb\u7597\u3001\u5fc3\u7406\u6cbb\u7597\u3001\u5065\u5eb7\u6559\u80b2\u3001\u8001\u5e74\u6027\u75be\u75c5\u548c\u9000\u884c\u6027\u75be\u75c5\u7684\u9884\u9632\u53ca\u4fdd\u5065\u7b49\u66f4\u4e3a\u5e7f\u6cdb\u3001\u66f4\u4e3a\u793e\u4f1a\u6027\u7684\u533b\u7597\u670d\u52a1\u4e0a\u3002\u533b\u5b66\u9662\u6821\u57f9\u517b\u7684\u4e00\u90e8\u5206\u533b\u5b66\u751f\u5c06\u5145\u5b9e\u8fdb\u533b\u9662\uff0c\u53e6\u4e00\u90e8\u5206\u533b\u5b66\u751f\u5c06\u6210\u4e3a\u793e\u533a\u5168\u79d1\u533b\u5b66\u4eba\u624d\uff0c\u4f46\u65e0\u8bba\u662f\u533b\u9662\u91cc\u7684\u533b\u751f\u8fd8\u662f\u793e\u533a\u7684\u5168\u79d1\u533b\u751f\uff0c\u4ed6\u4eec\u7684\u804c\u8d23\u5c31\u662f\u7ed9\u60a3\u8005\u63d0\u4f9b\u4f18\u8d28\u7684\u670d\u52a1\uff0c\u826f\u597d\u7684\u804c\u4e1a\u9053\u5fb7\u4e0d\u662f\u201c\u9526\u4e0a\u6dfb\u82b1\u201d\uff0c\u800c\u662f\u505a\u597d\u5de5\u4f5c\u7684\u57fa\u672c\u524d\u63d0\u3002\u6ca1\u6709\u8d77\u7801\u7684\u804c\u4e1a\u9053\u5fb7\uff0c\u4e0d\u4e3a\u60a3\u8005\u6216\u5c45\u6c11\u63d0\u4f9b\u826f\u597d\u7684\u670d\u52a1\uff0c\u5c31\u53ef\u80fd\u65e0\u6cd5\u80dc\u4efb\u533b\u7597\u5de5\u4f5c\u3002\u4ece\u76ee\u524d\u6b63\u786e\u5904\u7406\u533b\u60a3\u5173\u7cfb\u6765\u770b\uff0c\u662f\u4ee5\u533b\u751f\u826f\u597d\u7684\u804c\u4e1a\u9053\u5fb7\u4e3a\u57fa\u7840\u3002\u5f53\u4eca\u533b\u5b66\u6a21\u5f0f\u7531\u201c\u751f\u7269-\u533b\u5b66\u201d\u6a21\u5f0f\u5411\u201c\u793e\u4f1a-\u5fc3\u7406-\u533b\u5b66\u201d\u6a21\u5f0f\u8f6c\u53d8\uff0c\u75be\u75c5\u7684\u75c5\u56e0\u65e5\u76ca\u590d\u6742\uff0c\u533b\u751f\u4e0e\u60a3\u8005\u53ea\u6709\u4e92\u76f8\u5c0a\u91cd\uff0c\u4e92\u76f8\u914d\u5408\uff0c\u5171\u540c\u5bf9\u6297\u75be\u75c5\uff0c\u624d\u80fd\u7ef4\u62a4\u5065\u5eb7\u3002\u8fd9\u5c31\u8981\u6c42\u533b\u5b66\u751f\u5728\u4e34\u5e8a\u5b9e\u8df5\u65f6\uff0c\u5c31\u8981\u57f9\u517b\u8d77\u81ea\u5df1\u5177\u6709\u5065\u5168\u7684\u4eba\u683c\u548c\u826f\u597d\u7684\u804c\u4e1a\u9053\u5fb7\u4fee\u517b
2 \u65b0\u5f62\u52bf\u4e0b\u533b\u5b66\u751f\u804c\u4e1a\u9053\u5fb7\u6559\u80b2\u7684\u57f9\u517b\u9014\u5f84
\u4e3a\u4e86\u63d0\u9ad8\u6211\u56fd\u533b\u5b66\u751f\u804c\u4e1a\u9053\u5fb7\u6559\u80b2\u7684\u6709\u6548\u6027\u548c\u5b9e\u6548\u6027\uff0c\u9700\u8981\u4e0d\u65ad\u5b8c\u5584\u548c\u5065\u5168\u73b0\u6709\u804c\u4e1a\u9053\u5fb7\u57f9\u517b\u6e20\u9053\uff0c\u5e76\u4e14\u62d3\u5c55\u65b0\u6e20\u9053\u3002\u5728\u63a2\u8ba8\u7814\u7a76\u56fd\u5185\u5916\u533b\u5b66\u751f\u804c\u4e1a\u9053\u5fb7\u57f9\u517b\u9014\u5f84\u4e0a\uff0c\u535a\u91c7\u4f17\u957f\uff0c\u5f62\u6210\u4ee5\u804c\u4e1a\u9053\u5fb7\u6559\u80b2\u8d2f\u7a7f\u4e8e\u4e13\u4e1a\u6559\u80b2\u5168\u8fc7\u7a0b\u4e3a\u7279\u5f81\uff0c\u4ee5\u804c\u4e1a\u9053\u5fb7\u6559\u80b2\u4e0e\u4e34\u5e8a\u533b\u7597\u5b9e\u8df5\u76f8\u7ed3\u5408\uff0c\u4ee5\u63d0\u9ad8\u533b\u5b66\u751f\u81ea\u6211\u9053\u5fb7\u6559\u80b2\u80fd\u529b\u4e3a\u76ee\u7684\uff0c\u9002\u5408\u6211\u56fd\u7279\u70b9\u7684\u533b\u5b66\u751f\u804c\u4e1a\u9053\u5fb7\u57f9\u517b\u9014\u5f84\u3002
2.1 \u660e\u786e\u533b\u5b66\u751f\u804c\u4e1a\u9053\u5fb7\u6559\u80b2\u7684\u76ee\u6807\u548c\u4ef7\u503c\u4f53\u7cfb
\u300a\u533b\u5b66\u4f26\u7406\u5b66\u300b\u7406\u8bba\u8bfe\u662f\u5b66\u6821\u804c\u4e1a\u9053\u5fb7\u6559\u80b2\u7684\u4e3b\u6e20\u9053\uff0c\u4ece\u601d\u60f3\u6559\u80b2\u7684\u57fa\u672c\u65b9\u6cd5\u6765\u770b\uff0c\u7406\u8bba\u6559\u80b2\u662f\u4e00\u79cd\u6700\u4e3b\u8981\uff0c\u6700\u57fa\u672c\u7684\u6559\u80b2\u65b9\u6cd5\uff3b2\uff3d\uff0c\u5b83\u7684\u4efb\u52a1\u662f\u5728\u7406\u8bba\u7684\u5c42\u9762\u57f9\u517b\u5b66\u751f\u7684\u804c\u4e1a\u7cbe\u795e\u3002\u7f8e\u56fd\u533b\u5b66\u4f1a\u533b\u5b66\u9662\u6821\u5904\u53ca\u7f8e\u56fd\u533b\u5b66\u9662\u6821\u534f\u4f1a\u4e8e1998\u5e745\u6708\u53ec\u5f00\u4f1a\u8bae\uff0c\u8ba8\u8bba\u5982\u4f55\u52a0\u5f3a\u533b\u5b66\u804c\u4e1a\u7cbe\u795e\u7684\u57f9\u517b\uff0c\u7f8e\u56fd\u7edd\u5927\u591a\u6570\u5b66\u6821\u5df2\u8ba4\u8bc6\u5230\u6709\u5fc5\u8981\u628a\u804c\u4e1a\u7cbe\u795e\u770b\u4f5c\u533b\u5b66\u751f\u6559\u80b2\u7684\u5173\u952e\u56e0\u7d20\u6765\u5f3a\u8c03\uff0c\u7eb7\u7eb7\u5f00\u8bbe\u4e86\u6709\u5173\u804c\u4e1a\u7cbe\u795e\u548c\u804c\u4e1a\u4ef7\u503c\u7684\u6b63\u5f0f\u8bfe\u7a0b\u3002\u540c\u65f6\uff0c\u4ed6\u4eec\u8fd8\u660e\u786e\u5730\u5f3a\u8c03\u4e86\u533b\u5b66\u9662\u6821\u6559\u5b66\u4e2d\u804c\u4e1a\u7cbe\u795e\u7684\u5c5e\u6027\uff0c\u5373\u4e2a\u4eba\u5174\u8da3\u670d\u4ece\u4e8e\u60a3\u8005\u7684\u5174\u8da3\uff0c\u575a\u6301\u9ad8\u5c1a\u7684\u4f26\u7406\u4e0e\u9053\u5fb7\u6807\u51c6\uff0c\u54cd\u5e94\u793e\u4f1a\u7684\u9700\u8981\uff0c\u8868\u73b0\u51fa\u6838\u5fc3\u7684\u4eba\u6027\u7684\u4ef7\u503c\uff3b3\uff3d\u3002\u8fd9\u5bf9\u4e8e\u6211\u4eec\u5f53\u524d\u7684\u804c\u4e1a\u9053\u5fb7\u6559\u80b2\u6709\u4e00\u5b9a\u7684\u542f\u793a\u3002
2.2 \u91cd\u89c6\u533b\u5b66\u751f\u804c\u4e1a\u9053\u5fb7\u6559\u80b2\u5728\u4e34\u5e8a\u5b9e\u8df5\u671f\u95f4\u7684\u5e94\u7528
\u6559\u5b66\u533b\u9662\u53ef\u5f00\u8bbe\u804c\u4e1a\u9053\u5fb7\u4e13\u9898\u4e34\u5e8a\u6559\u80b2\u5b9e\u4e60\u8bfe\u7a0b\uff0c\u5c06\u533b\u5b66\u751f\u7684\u804c\u4e1a\u9053\u5fb7\u6559\u80b2\u5728\u4e34\u5e8a\u5b9e\u4e60\u671f\u7ec4\u7ec7\u5b9e\u65bd\uff0c\u90e8\u5206\u6559\u5b66\u6d3b\u52a8\u5728\u60a3\u8005\u5e8a\u8fb9\u5c55\u5f00\uff0c\u4e0e\u533b\u5b66\u751f\u4e00\u8d77\u53c2\u4e0e\u6559\u5b66\u8ba8\u8bba\u7684\u76f8\u5173\u4eba\u5458\u6709\u5185\u79d1\u533b\u751f\u3001\u5fc3\u7406\u533b\u751f\u3001\u7cbe\u795e\u75c5\u79d1\u533b\u751f\u7b49\uff0c\u8fd9\u79cd\u7406\u8bba\u8054\u7cfb\u5b9e\u9645\u7684\u5e8a\u8fb9\u6559\u5b66\u6cd5\u53ef\u53d6\u5f97\u8f83\u4e3a\u7406\u60f3\u7684\u6548\u679c\uff0c\u6709\u76ca\u4e8e\u5b66\u751f\u7684\u804c\u4e1a\u9053\u5fb7\u57f9\u517b\u3002
2.3 \u5f00\u5c55\u533b\u5b66\u751f\u804c\u4e1a\u9053\u5fb7\u6559\u80b2\u7684\u793e\u4f1a\u5b9e\u8df5\u6d3b\u52a8
\u533b\u5b66\u751f\u7684\u804c\u4e1a\u9053\u5fb7\u6559\u80b2\u548c\u9053\u5fb7\u5b9e\u8df5\u662f\u76f8\u8f85\u76f8\u6210\u3001\u76f8\u4e92\u7ed3\u5408\u7684\u3002\u6559\u80b2\u7684\u76ee\u7684\u5728\u4e8e\u63d0\u9ad8\u533b\u5b66\u751f\u7684\u804c\u4e1a\u9053\u5fb7\u7d20\u517b\uff0c\u800c\u8fd0\u7528\u591a\u79cd\u6559\u80b2\u5f62\u5f0f\u548c\u624b\u6bb5\uff0c\u4f7f\u533b\u5b66\u751f\u5728\u793e\u4f1a\u5b9e\u8df5\u7684\u81ea\u89c9\u53c2\u4e0e\u4e2d\u804c\u4e1a\u60c5\u611f\u5f97\u5230\u57f9\u517b\uff0c\u656c\u4e1a\u7cbe\u795e\u5f97\u5230\u5145\u5b9e\uff0c\u804c\u4e1a\u9053\u5fb7\u5883\u754c\u5f97\u5230\u5347\u534e\u3002\u5f00\u5c55\u4e13\u9879\u6559\u80b2\u548c\u4e13\u9898\u8bb2\u5ea7\uff0c\u5728\u533b\u5b66\u751f\u8fdb\u5165\u4e34\u5e8a\u5b9e\u4e60\u9636\u6bb5\u524d\u96c6\u4e2d\u5bf9\u533b\u5b66\u751f\u8fdb\u884c\u533b\u7597\u884c\u4e1a\u7684\u670d\u52a1\u5b97\u65e8\u3001\u533b\u52a1\u4eba\u5458\u7684\u804c\u4e1a\u9053\u5fb7\u548c\u5b9e\u4e60\u89c4\u5219\u7684\u6559\u80b2\u3002\u8bf7\u533b\u751f\u52b3\u6a21\u3001\u79d1\u7814\u5e26\u5934\u4eba\u53ca\u533b\u7597\u670d\u52a1\u660e\u661f\u7545\u8c08\u7231\u5c97\u656c\u4e1a\u7684\u601d\u60f3\uff0c\u5bf9\u5e2e\u52a9\u533b\u5b66\u751f\u6811\u7acb\u6b63\u786e\u7684\u4eba\u751f\u89c2\u548c\u5168\u5fc3\u5168\u610f\u4e3a\u60a3\u8005\u670d\u52a1\u7684\u601d\u60f3\u6709\u7740\u4e0d\u53ef\u4f30\u91cf\u7684\u4f5c\u7528\u3002\u5f00\u5c55\u521b\u5efa\u6587\u660e\u73ed\u7ec4\u6d3b\u52a8\uff0c\u901a\u8fc7\u6b64\u6d3b\u52a8\u5c06\u533b\u5b66\u751f\u9075\u5b88\u804c\u4e1a\u9053\u5fb7\u7684\u60c5\u51b5\u4f5c\u4e3a\u8003\u6838\u3001\u5956\u60e9\u7684\u91cd\u8981\u6307\u6807\uff0c\u4ece\u800c\u4fc3\u4f7f\u533b\u5b66\u751f\u517b\u6210\u826f\u597d\u7684\u804c\u4e1a\u4e60\u60ef\u3002\u5f00\u5c55\u5404\u79cd\u7ade\u8d5b\u6d3b\u52a8\uff0c\u4ee5\u6fc0\u52b1\u533b\u52a1\u4eba\u5458\u7684\u804c\u4e1a\u9053\u5fb7\u610f\u8bc6\uff0c\u5982\u5f00\u5c55\u201c\u767d\u6c42\u6069\u676f\u7ade\u8d5b\u201d\u548c\u201c\u8bb2\u5949\u732e\u9001\u6e29\u6696\u201d\u7b49\u7ade\u8d5b\u6d3b\u52a8\u3002\u901a\u8fc7\u4e0b\u793e\u533a\u3001\u533b\u7597\u6276\u8d2b\u6d3b\u52a8\uff0c\u53c2\u4e0e\u533b\u9662\u7684\u79d1\u6280\u8282\u3001\u827a\u672f\u8282\u7684\u6bd4\u8d5b\uff0c\u8425\u9020\u826f\u597d\u7684\u6587\u5316\u6c1b\u56f4\uff0c\u4f7f\u804c\u4e1a\u9053\u5fb7\u5728\u5b66\u751f\u7684\u70ed\u60c5\u53c2\u4e0e\u4e2d\u663e\u5f97\u66f4\u52a0\u5177\u4f53\u5316\u3002
3 \u65b0\u5f62\u52bf\u4e0b\u533b\u5b66\u751f\u804c\u4e1a\u9053\u5fb7\u6559\u80b2\u7684\u65b9\u6cd5
\u533b\u5b66\u751f\u804c\u4e1a\u9053\u5fb7\u6559\u80b2\u7684\u65b9\u6cd5\u662f\u4ece\u63d0\u9ad8\u533b\u5b66\u751f\u5bf9\u804c\u4e1a\u9053\u5fb7\u7684\u8ba4\u8bc6\u5f00\u59cb\uff0c\u8fdb\u800c\u9676\u51b6\u5176\u804c\u4e1a\u9053\u5fb7\u60c5\u64cd\uff0c\u953b\u70bc\u804c\u4e1a\u9053\u5fb7\u610f\u5fd7\uff0c\u5f62\u6210\u804c\u4e1a\u9053\u5fb7\u4fe1\u5ff5\uff0c\u6700\u7ec8\u517b\u6210\u826f\u597d\u7684\u804c\u4e1a\u9053\u5fb7\u884c\u4e3a\u548c\u4e60\u60ef\u3002
3.1 \u63d0\u9ad8\u533b\u5b66\u751f\u804c\u4e1a\u9053\u5fb7\u8ba4\u8bc6
\u804c\u4e1a\u9053\u5fb7\u8ba4\u8bc6\u662f\u5bf9\u533b\u5fb7\u5173\u7cfb\u4ee5\u53ca\u8c03\u8282\u8fd9\u4e9b\u5173\u7cfb\u7684\u539f\u5219\u3001\u89c4\u8303\u7684\u8ba4\u77e5\u3001\u7406\u89e3\u548c\u63a5\u53d7\u3002\u8ba4\u8bc6\u662f\u884c\u4e3a\u7684\u5148\u5bfc\uff0c\u56e0\u6b64\u63d0\u9ad8\u533b\u5b66\u751f\u7684\u804c\u4e1a\u9053\u5fb7\u8ba4\u8bc6\u6c34\u5e73\u662f\u804c\u4e1a\u9053\u5fb7\u6559\u80b2\u7684\u9996\u8981\u73af\u8282\u3002
3.2 \u57f9\u517b\u533b\u5b66\u751f\u804c\u4e1a\u9053\u5fb7\u60c5\u611f
\u804c\u4e1a\u9053\u5fb7\u60c5\u611f\u662f\u5bf9\u533b\u7597\u536b\u751f\u4e8b\u4e1a\u53ca\u60a3\u8005\u6240\u4ea7\u751f\u7684\u7231\u6068\u3001\u559c\u6076\u6001\u5ea6\u53ca\u5176\u5c65\u884c\u804c\u4e1a\u9053\u5fb7\u8981\u6c42\u540e\u7684\u5185\u5fc3\u4f53\u9a8c\u548c\u81ea\u7136\u6d41\u9732\u3002\u804c\u4e1a\u9053\u5fb7\u60c5\u611f\u662f\u4ea7\u751f\u884c\u4e3a\u7684\u5185\u5728\u52a8\u529b\uff0c\u56e0\u6b64\u57f9\u517b\u533b\u5b66\u751f\u7684\u804c\u4e1a\u9053\u5fb7\u60c5\u611f\u662f\u804c\u4e1a\u9053\u5fb7\u6559\u80b2\u7684\u91cd\u8981\u73af\u8282\u3002
3.3 \u953b\u70bc\u533b\u5b66\u751f\u804c\u4e1a\u9053\u5fb7\u610f\u5fd7
\u804c\u4e1a\u9053\u5fb7\u610f\u5fd7\u662f\u6307\u5728\u5c65\u884c\u804c\u4e1a\u9053\u5fb7\u4e49\u52a1\u8fc7\u7a0b\u4e2d\uff0c\u81ea\u89c9\u514b\u670d\u56f0\u96be\u548c\u969c\u788d\u7684\u6bc5\u529b\u3002\u804c\u4e1a\u9053\u5fb7\u610f\u5fd7\u662f\u884c\u4e3a\u7684\u6760\u6746\uff0c\u56e0\u6b64\u953b\u70bc\u533b\u5b66\u751f\u7684\u804c\u4e1a\u9053\u5fb7\u610f\u5fd7\u662f\u804c\u4e1a\u9053\u5fb7\u6559\u80b2\u7684\u5173\u952e\u73af\u8282\u3002
3.4 \u6811\u7acb\u533b\u5b66\u751f\u804c\u4e1a\u9053\u5fb7\u4fe1\u5ff5
\u804c\u4e1a\u9053\u5fb7\u4fe1\u5ff5\u662f\u6839\u636e\u804c\u4e1a\u9053\u5fb7\u8ba4\u8bc6\u3001\u804c\u4e1a\u9053\u5fb7\u60c5\u611f\u548c\u804c\u4e1a\u9053\u5fb7\u610f\u5fd7\u800c\u786e\u7acb\u8d77\u6765\u7684\u5bf9\u804c\u4e1a\u9053\u5fb7\u7406\u60f3\u3001\u76ee\u6807\u575a\u5b9a\u4e0d\u79fb\u7684\u4fe1\u4ef0\u548c\u8ffd\u6c42\u3002\u804c\u4e1a\u9053\u5fb7\u4fe1\u5ff5\u662f\u63a8\u52a8\u533b\u5b66\u751f\u4ea7\u751f\u804c\u4e1a\u9053\u5fb7\u884c\u4e3a\u7684\u52a8\u529b\uff0c\u662f\u8ba4\u8bc6\u8f6c\u5316\u4e3a\u884c\u4e3a\u7684\u4e2d\u4ecb\u73af\u8282\u3002\u56e0\u6b64\uff0c\u7740\u529b\u4e8e\u533b\u5b66\u751f\u804c\u4e1a\u9053\u5fb7\u4fe1\u5ff5\u7684\u6811\u7acb\u662f\u804c\u4e1a\u9053\u5fb7\u6559\u80b2\u7684\u4e2d\u5fc3\u73af\u8282\u3002
3.5 \u517b\u6210\u533b\u5b66\u751f\u826f\u597d\u7684\u804c\u4e1a\u9053\u5fb7\u884c\u4e3a\u4e60\u60ef
\u804c\u4e1a\u9053\u5fb7\u884c\u4e3a\u4e60\u60ef\u662f\u5728\u804c\u4e1a\u9053\u5fb7\u8ba4\u8bc6\u3001\u804c\u4e1a\u9053\u5fb7\u60c5\u611f\u3001\u804c\u4e1a\u9053\u5fb7\u610f\u5fd7\u548c\u804c\u4e1a\u9053\u5fb7\u4fe1\u5ff5\u7684\u652f\u914d\u4e0b\uff0c\u5f62\u6210\u7684\u4e00\u79cd\u7ecf\u5e38\u7684\u3001\u6301\u7eed\u7684\u3001\u81ea\u7136\u800c\u7136\u7684\u884c\u4e3a\u6d3b\u52a8\u4e60\u60ef\u3002\u804c\u4e1a\u9053\u5fb7\u884c\u4e3a\u4e60\u60ef\u662f\u804c\u4e1a\u9053\u5fb7\u6559\u80b2\u7684\u76ee\u7684\uff0c\u4e5f\u662f\u8861\u91cf\u4e00\u4e2a\u533b\u5b66\u751f\u804c\u4e1a\u9053\u5fb7\u6c34\u5e73\u7684\u9ad8\u4f4e\u6807\u5fd7\u3002\u56e0\u6b64\uff0c\u4f7f\u533b\u5b66\u751f\u517b\u6210\u826f\u597d\u7684\u804c\u4e1a\u9053\u5fb7\u884c\u4e3a\u4e60\u60ef\u662f\u804c\u4e1a\u9053\u5fb7\u6559\u80b2\u7684\u6700\u7ec8\u73af\u8282\u3002
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②在治疗室：洗手、戴口罩→准备用物(治疗盘、纱布5块【治疗盘内放2块】、石蜡油、棉签、胶布、别针、听诊器、温开水、鼻饲液、弯盘、水杯、鼻饲包【治疗碗、3块纱布、50ml注射器、鼻胃管】
③在病房：核对病人→将治疗盘放于床头柜上，将弯盘置于右下角，对病人说我准备好了，我们现在开始吧。→取平卧位→清洁鼻腔(用2根棉签蘸上温开水)→打开鼻饲包→将治疗碗放入治疗盘上→铺治疗巾于病人颌下→拿胃管量长度(自发际至剑突→用石蜡油润滑胃管前端15-20cm→插管用镊子持胃管前端插入至咽喉时(约14-16cm)对病人说做吞咽动作然后将胃管插进去，检查是否在胃内(1、抽吸胃液2、用听诊器在胃部听气过水声3、将胃管放入水杯中无气泡溢出)→用胶布固定(鼻翼、脸颊部)→灌注先注入10ml温开水，再灌注鼻饲液30ml<2次>，再用20ml温开水冲死胃管(灌注时要用血管钳夹住鼻饲管末端)→灌注完毕后，冲洗注射器放于治疗碗内。将鼻饲管反折用纱布包好，(包胃管的纱布扔掉)用橡皮筋系紧，别针固定于枕边，用纱布盖好注射器，以备用。
④拔管将弯盘置于病人胸前→移除固定物→用纱布放于鼻腔处拔管(嘱病人深呼吸，在呼气时迅速拔管)→拔完后将胃管置于弯盘内→用温开水漱口→用纱布清洁鼻腔、嘴部。→收拾用物→撤。至此，临床护理操作规范流程全部更新完毕，敬请期待下期精彩内容~
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