目的制订《成人机械通气患者肠内营养护理管理专家共识》（以下简称《共识》），规范营养风险筛查与评估、肠内营养实施、并发症防控，为成人机械通气患者肠内营养护理实践提供参考。方法组建由呼吸与危重症医学科、消化内科、重症医学科、营养科及护理专业组成的多学科团队编写组，通过系统文献检索形成《共识》初稿，通过2轮德尔菲专家函询与1次专家论证会修订形成《共识》终稿。结果 《共识》围绕成人机械通气患者肠内营养护理管理的核心环节，形成包括形成多学科营养支持合作团队、营养风险筛查、营养状态评估、肠内营养实施、常见并发症防控5个维度的规范内容。结论 《共识》基于循证证据与专家意见，提出面向临床成人机械通气患者肠内营养护理管理规范，有助于降低成人机械通气患者肠内营养相关并发症发生率，提高成人机械通气患者肠内营养护理水平，并为各级医疗与护理机构提供可操作的实践参考。

Objective To formulate theExpert Consensus on Nursing Management of Enteral Nutrition in Adult Patients Receiving Mechanical Ventilation(hereinafter referred to as “the Consensus”),standardize nutrition risk screening and assessment,enteral nutrition implementation,and complication prevention and control,thereby providing a reference for the nursing practice of enteral nutrition in adult patients receiving mechanical ventilation.Methods A multidisciplinary team (MDT) writing group was established,comprising professionals from respiratory and critical care medicine,gastroenterology,critical care medicine,nutrition and nursing.The preliminary draft of the Consensus was formed through systematic literature retrieval.The final draft was developed after two rounds of Delphi expert consultations and one expert demonstration meeting.ResultsFocusing on the core aspects of nursing management for enteral nutrition in adult patients on mechanical ventilation,the Consensus established standardized content across five dimensions: formation of an MDT nutrition support team,nutrition risk screening,nutritional status assessment,implementation of enteral nutrition,and prevention and control of common complications. ConclusionsBased on evidence-based evidence and expert opinions,the Consensus proposes nursing management standards for enteral nutrition in adult patients receiving mechanical ventilation.It is conducive to reducing the incidence of enteral nutrition-related complications,improving the level of nursing care,and providing an operational practical reference for medical and nursing institutions at all levels.

R473；R473.57；R823

申康中心市级医院诊疗技术推广及优化管理项目（SHDC22024208）；申康中心第二轮《促进市级医院临床技能与临床创新三年行动计划》研究型医师创新转化能力培训项目（SHDC2023CRS014）