[1]黄晓春,肖李强,陈汝东,等.内镜经皮胃造瘘术对吞咽困难患者营养状况及生活质量的影响[J].医学信息,2021,34(14):117-120.[doi:10.3969/j.issn.1006-1959.2021.14.031]
　HUANG Xiao-chun,XIAO Li-qiang,CHEN Ru-dong,et al.Effects of Endoscopic Percutaneous Gastrostomy on Nutritional Status and Quality of Life in Patients with Dysphagia[J].Medical Information,2021,34(14):117-120.[doi:10.3969/j.issn.1006-1959.2021.14.031]
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内镜经皮胃造瘘术对吞咽困难患者营养状况及生活质量的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年14期
页码:
117-120
栏目:
论著
出版日期:
2021-07-15

文章信息/Info

Title:
Effects of Endoscopic Percutaneous Gastrostomy on Nutritional Status and Quality of Life in Patients with Dysphagia
文章编号:
1006-1959（2021）14-0117-04
作者:
黄晓春; 肖李强; 陈汝东; 等
（东莞市石碣医院内二科，广东 东莞 523290）
Author(s):
HUANG Xiao-chun; XIAO Li-qiang; CHEN Ru-dong; et al.
(The Second Department of Internal Medicine,Shijie Hospital,Dongguan 523290,Guangdong,China)
关键词:
吞咽障碍; 经皮内镜下胃造瘘术; 营养状态; 生活质量
Keywords:
Dysphagia; Percutaneous endoscopic gastrostomy; Nutritional status; Quality of life
分类号:
R656.6+1
DOI:
10.3969/j.issn.1006-1959.2021.14.031
文献标志码:
A
摘要:
目的 探讨内镜下经皮胃造瘘术（PEG）对吞咽困难患者营养状况及生活质量的影响。方法 选择2014年6月~2020年8月东莞市石碣医院收治的吞咽困难患者48例为研究对象，按照随机数字表法分为对照组和观察组，每组24例。对照组采取PEG营养支持治疗，观察组采取NGT营养支持治疗，比较两组营养指标、生活质量及并发症发生情况。结果 观察组TCH、Hb、ALB、TP、TF、BMI优于对照组，差异有统计学意义（P＜0.05）。观察组生理健康、心理健康、社会功能、生理功能评分高于对照组，差异有统计学意义（P＜0.05）。观察组消化道出血、吸入性肺炎、反流性食管炎和肠源性感染发生率低于对照组，差异有统计学意义（P＜0.05）。结论 PEG术后能改善患者治疗期间的营养状况，减少并发症发生几率，且可有效提高患者术后生活质量。
Abstract:
Objective To investigate the effect of endoscopic percutaneous gastrostomy (PEG) on the nutritional status and quality of life of patients with dysphagia.Methods A total of 48 patients with dysphagia admitted to Dongguan Shijie Hospital from June 2014 to August 2020 were selected as the research objects. According to the random number table method, they were divided into control group and observation group, with 24 cases in each group.The control group was treated with PEG nutritional support, and the observation group was treated with NGT nutritional support.The nutritional indicators,quality of life and complications of the two groups were compared.Results The observation group’s TCH, Hb, ALB, TP, TF, and BMI were better than those of the control group, and the difference was statistically significant (P<0.05).The physical health, mental health, social function, and physiological function scores of the observation group were higher than those of the control group,the difference was statistically significant(P<0.05).The incidence of gastrointestinal bleeding, aspiration pneumonia, reflux esophagitis and intestinal infection in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion PEG surgery can improve the nutritional status of patients during treatment, reduce the incidence of complications, and can effectively improve the quality of life of patients after surgery.

参考文献/References:

[1]朱亚雯,王俊俊,达静,等.经皮内镜下胃造瘘术在进食受限者中的临床应用[J].南通大学学报(医学版),2020,40(3):293-294. [2]张偲,李晓梅.口腔癌放疗患者经皮内镜下胃造瘘行肠内营养治疗的效果观察[J].中国社区医师,2020,36(10):34-35. [3]肖玲,阮巍山,杨玉宇,等.内镜下经皮胃造瘘术在进食困难患者中的应用[J].广东医科大学学报,2019,37(4):452-454. [4]何建坤,倪少义,曾莉施.经皮内镜下胃造瘘术对吞咽障碍患者营养状态的影响[J].实用中西医结合临床,2018,18(6):148-150. [5]Ang SY,Mei LL,Ong HS,et al.A Descriptive Study of enteral tube feeding among adults in an acute care tertiary hospital-patient selection,characteristics and complications[J].Clinical Nutrition ESPEN,2020(37):58-64. [6]Sandberg F,Viktorsdóttir MB,Salo M,et al.Comparison of major complications in children after laparoscopy-assisted gastrostomy and percutaneous endoscopic gastrostomy placement: a meta-analysis[J].Pediatr Surg Int,2018,34(12):1321-1327. [7]赵奕.神经疾病患者营养现状及肠内营养支持方式研究[D].吉林大学,2015. [8]张秋,王玉龙,方锐,等.脑卒中吞咽障碍患者早期行经皮内镜下胃造瘘术对康复效果的影响分析[J].中国康复,2019(9):461-464. [9]姜跃龙,刘洁,史济华,等.老年患者中风后长期吞咽功能障碍选择经皮内镜下胃造瘘术的影响因素分析[J].中华老年医学杂志,2016,35(8):883-885. [10]Roveron G,Antonini M,Barbierato M,et al.Clinical Practice Guidelines for the Nursing Management of Percutaneous Endoscopic Gastrostomy and Jejunostomy (PEG/PEJ) in Adult Patients: An Executive Summary[J].J Wound Ostomy Continence Nurs,2018,45(4):326-334. [11]Vizhi K,Rao HB,Venu RP.Percutaneous endoscopic gastrostomy site infections-Incidence and risk factors[J].Indian J Gastroenterol,2018,37(2):103-107. [12]杨连生,吴毓麟.内镜下经皮胃造瘘术对脑梗塞患者营养及生活质量的改善[J].成都医学院学报,2013,8(4):457-459. [13]卢杰夫,姜海行,覃山羽.内镜下经皮胃造瘘术对患者营养及生活质量的改善[J].世界华人消化杂志,2012,20(33):3272-3276. [14]宋利民.经皮内镜下胃造瘘术在颅脑损伤伴吞咽功能障碍患者中的应用效果[J].世界临床医学,2016,10(10):78-79.

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更新日期/Last Update: 1900-01-01