A kind of tool lift guardrail is looked after with bed, include: an ontology, at least a guardrail and an adjustment component, wherein, aforementioned guardrail position what corresponds to a periphery of aforementioned bed ontology, which includes an adjusting seat and a driving unit, which connects aforementioned guardrail, there is a screw hole in the adjusting seat, the screw hole that the driving unit has a driving screw rod spiral shell to set the what adjusting seat, rise or fall aforementioned guardrail with respect to this bed ontology by driving this to drive screw turns. To adjust the guardrail for being suitble to height thereby for user with the demand of different nurse patients.一種具升降式護欄之照護用床,包含:一床本體、至少一護欄及一調整組件,其中,前述護欄位於對應前述床本體的一周邊,該調整組件包含一調整座及一驅動單元,該調整座連接前述護欄,該調整座上有一螺合孔,該驅動單元有一驅動螺桿螺設於該調整座的螺合孔,以藉由驅動該驅動螺桿轉動,使前述護欄相對該床本體上升或下降。以藉此供使用者隨不同看護患者的需求,調整適合高度的護欄。