中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2014年
20期
59-62
,共4页
内镜%胃造瘘术%基础疾病%诊断%并发症
內鏡%胃造瘺術%基礎疾病%診斷%併髮癥
내경%위조루술%기출질병%진단%병발증
Gastrostomy%Endoscopy%Underlying disease%Diagnosis%Complications
目的：比较分析老年患者及非老年患者经内镜下胃造瘘术(PEG)的临床特征。方法回顾性分析2007年1月~2013年12月在中国康复研究中心北京博爱医院住院行PEG治疗的患者84例，其中年龄≥65岁者44例为老年PEG组(老年组)，年龄<65岁者40例为非老年PEG组(非老年组)。比较分析两组患者人口学特征、生化资料、基础疾病及并发症情况。结果老年组患者男/女为25/19例，非老年组患者男/女为32/8例，差异有统计学意义(字2=5.162，P=0.035)；老年组白蛋白水平[(34.23±4.75)g/L]低于非老年组[(37.52±4.18)g/L]，差异有高度统计学意义(t =3.271，P=0.002)；老年组循环系统疾病发生率(81.82%)高于非老年组(47.50%)，差异有高度统计学意义(字2=10.916，P=0.001)；老年组脑中风发生率(88.64%)高于非老年组(52.50%)，差异有高度统计学意义(字2=8.727，P=0.000)；非老年组颅脑外伤发生率(27.50%)高于老年组(0.00%)，差异有高度统计学意义(字2=13.923，P=0.000)；老年组造瘘口感染发生率(15.91%)高于非老年组(0.00%)，差异有统计学意义(字2=6.942，P<0.05)。结论老年组白蛋白水平低于非老年组，老年组心血管病、脑血管病、造瘘口感染率高于非老年组；非老年组多为男性患者，多有颅脑外伤病史。
目的：比較分析老年患者及非老年患者經內鏡下胃造瘺術(PEG)的臨床特徵。方法迴顧性分析2007年1月~2013年12月在中國康複研究中心北京博愛醫院住院行PEG治療的患者84例，其中年齡≥65歲者44例為老年PEG組(老年組)，年齡<65歲者40例為非老年PEG組(非老年組)。比較分析兩組患者人口學特徵、生化資料、基礎疾病及併髮癥情況。結果老年組患者男/女為25/19例，非老年組患者男/女為32/8例，差異有統計學意義(字2=5.162，P=0.035)；老年組白蛋白水平[(34.23±4.75)g/L]低于非老年組[(37.52±4.18)g/L]，差異有高度統計學意義(t =3.271，P=0.002)；老年組循環繫統疾病髮生率(81.82%)高于非老年組(47.50%)，差異有高度統計學意義(字2=10.916，P=0.001)；老年組腦中風髮生率(88.64%)高于非老年組(52.50%)，差異有高度統計學意義(字2=8.727，P=0.000)；非老年組顱腦外傷髮生率(27.50%)高于老年組(0.00%)，差異有高度統計學意義(字2=13.923，P=0.000)；老年組造瘺口感染髮生率(15.91%)高于非老年組(0.00%)，差異有統計學意義(字2=6.942，P<0.05)。結論老年組白蛋白水平低于非老年組，老年組心血管病、腦血管病、造瘺口感染率高于非老年組；非老年組多為男性患者，多有顱腦外傷病史。
목적：비교분석노년환자급비노년환자경내경하위조루술(PEG)적림상특정。방법회고성분석2007년1월~2013년12월재중국강복연구중심북경박애의원주원행PEG치료적환자84례，기중년령≥65세자44례위노년PEG조(노년조)，년령<65세자40례위비노년PEG조(비노년조)。비교분석량조환자인구학특정、생화자료、기출질병급병발증정황。결과노년조환자남/녀위25/19례，비노년조환자남/녀위32/8례，차이유통계학의의(자2=5.162，P=0.035)；노년조백단백수평[(34.23±4.75)g/L]저우비노년조[(37.52±4.18)g/L]，차이유고도통계학의의(t =3.271，P=0.002)；노년조순배계통질병발생솔(81.82%)고우비노년조(47.50%)，차이유고도통계학의의(자2=10.916，P=0.001)；노년조뇌중풍발생솔(88.64%)고우비노년조(52.50%)，차이유고도통계학의의(자2=8.727，P=0.000)；비노년조로뇌외상발생솔(27.50%)고우노년조(0.00%)，차이유고도통계학의의(자2=13.923，P=0.000)；노년조조루구감염발생솔(15.91%)고우비노년조(0.00%)，차이유통계학의의(자2=6.942，P<0.05)。결론노년조백단백수평저우비노년조，노년조심혈관병、뇌혈관병、조루구감염솔고우비노년조；비노년조다위남성환자，다유로뇌외상병사。
Objective To compare the clinic characters of percutaneous endoscopic gastrostomy (PEG) in elderly and non-elderly patients. Methods 84 cases with PEG in Beijing Charity Hospital, China Rehabilitation Research Center from January 2007 to December 2013 were retrospectively analyzed. 44 elderly patients with ≥65 years old were se-lected as senior group, 40 cases with<65 years old were selected as non-senior group. The demographic characteristic, biochemical data, underlying diseases and complication were analyzed between the two groups. Results The male/fe-male ratio of senior group and non-senior group were 25/19 cases, 32/8 cases respectively, the difference was statisti-cally significant (χ2=5.162, P=0.035). The albumin level of senior group [(34.23±4.75) g/L] was lower than that in non-senior group [(37.52±4.18) g/L], the difference was statistically significant (t =3.271, P=0.002). The incident rate of circulatory system disease of senior group (81.82%) was higher than that of non-senior group (47.50%), the differ-ence was statistically significant (χ2=10.916, P=0.001). The incident rate of cerebral stroke of senior group (88.64%) was higher than that of non-senior group (52.50%), the difference was statistically significant (χ2= 8.727, P= 0.000). The incident rate of craniocerebral trauma of non-senior group (27.50%) was higher than that of senior group (0.00%), the difference was statistically significant (χ2=13.923, P=0.000). The incident rate of stoma infection of senior group (15.91%) was higher than that of non-senior group (0.00%), the difference was statistically significant (χ2= 6.942, P<0.05). Conclusion The albumin level of senior group is lower than non-senior group. Senior group has more circulatory system diseases, cerebral stroke and stoma infection than non-senior group. The non-senior group has more male pa-tients, more craniocerebral trauma than senior group.
