重症患者肠内营养喂养不耐受的中医治疗
Traditional Chinese Medicine Treatment for Intestinal Nutritional Feeding Insufficiency in Severe Patients

喂养不耐受是危重症患者肠内营养治疗中常见的并发症，国内外发生率从30%至70%不等。喂养不耐受不仅影响危重患者的营养摄入，还可能引起一系列并发症，如肠道感染、营养不良、误吸等。在治疗喂养不耐受时，通常选用促胃肠动力药物及抗生素，但效果不明显。中医从脾胃论治喂养不耐受，综合方药、针灸、推拿等一系列治疗，对于改善喂养不耐受症状，具有一定的临床价值。本文结合本科室临床经验，对喂养不耐受治疗进行总结。以期更好地预防喂养不耐受的发生，治疗胃肠道障碍症状，改善病人预后。
Feeding intolerance is a common complication in enteral nutrition therapy for critically ill patients, with incidence rates ranging from 30% to 70% domestically and internationally. Feeding intolerance not only affects the nutritional intake of critically ill patients, but may also cause a series of complications, such as intestinal infections, malnutrition, aspiration, etc. When treating feeding intolerance, gastrointestinal motility promoting drugs and antibiotics are usually used, but the effect is not significant. Traditional Chinese medicine treats feeding intolerance from the spleen and stomach, and a series of treatments such as comprehensive prescriptions, acupuncture and moxibustion, and massage have certain clinical value for improving the symptoms of feeding intolerance. This article summarizes the treatment of feeding intolerance based on clinical experience in our department. In order to better prevent the occurrence of feeding intolerance, treat gastrointestinal disorders, and improve patient prognosis.