中华临床医师杂志（电子版）
中華臨床醫師雜誌（電子版）
중화림상의사잡지（전자판）
CHINESE JOURNAL OF CLINICIANS(ELECTRONIC VERSION)
2013年
20期
9103-9106
,共4页
于剑锋%郝建宇%郎海波%张冬磊
于劍鋒%郝建宇%郎海波%張鼕磊
우검봉%학건우%랑해파%장동뢰
肠道营养%经皮内镜下胃造瘘术%早期
腸道營養%經皮內鏡下胃造瘺術%早期
장도영양%경피내경하위조루술%조기
Enteral nutrition%Percutaneous endoscopic gastrostomy%Early
目的：探讨经皮内镜下胃造瘘术后患者早期喂养的可行性和安全性。方法将105例患者随机分为两组，观察组55例于PEG术后3 h予以首次经造瘘管喂养，对照组50例于PEG术后12 h予以首次经造瘘管喂养。观察喂养前与首次喂养后腹围差，首次喂养后72h内、4h内患者的并发症及4h前后患者营养指标（血红蛋白、甘油三酯和血浆白蛋白）的变化。结果105例入选患者组间在性别、年龄及病种以及营养指标上无统计学意义，无论是首次喂养前后的腹围差（P＝0.610），还是首次喂养后72 h 内（P＝0.843）和4 h内出现的并发症（P＝0.880）及造瘘术前后血红蛋白（P＝0.911）、甘油三酯（P＝0.655）和血浆白蛋白（P＝0.213）的变化均无统计学意义。结论经皮内镜下胃造瘘术后早期喂养不会增加并发症的发生，可以在术后3h进行首次喂养。
目的：探討經皮內鏡下胃造瘺術後患者早期餵養的可行性和安全性。方法將105例患者隨機分為兩組，觀察組55例于PEG術後3 h予以首次經造瘺管餵養，對照組50例于PEG術後12 h予以首次經造瘺管餵養。觀察餵養前與首次餵養後腹圍差，首次餵養後72h內、4h內患者的併髮癥及4h前後患者營養指標（血紅蛋白、甘油三酯和血漿白蛋白）的變化。結果105例入選患者組間在性彆、年齡及病種以及營養指標上無統計學意義，無論是首次餵養前後的腹圍差（P＝0.610），還是首次餵養後72 h 內（P＝0.843）和4 h內齣現的併髮癥（P＝0.880）及造瘺術前後血紅蛋白（P＝0.911）、甘油三酯（P＝0.655）和血漿白蛋白（P＝0.213）的變化均無統計學意義。結論經皮內鏡下胃造瘺術後早期餵養不會增加併髮癥的髮生，可以在術後3h進行首次餵養。
목적：탐토경피내경하위조루술후환자조기위양적가행성화안전성。방법장105례환자수궤분위량조，관찰조55례우PEG술후3 h여이수차경조루관위양，대조조50례우PEG술후12 h여이수차경조루관위양。관찰위양전여수차위양후복위차，수차위양후72h내、4h내환자적병발증급4h전후환자영양지표（혈홍단백、감유삼지화혈장백단백）적변화。결과105례입선환자조간재성별、년령급병충이급영양지표상무통계학의의，무론시수차위양전후적복위차（P＝0.610），환시수차위양후72 h 내（P＝0.843）화4 h내출현적병발증（P＝0.880）급조루술전후혈홍단백（P＝0.911）、감유삼지（P＝0.655）화혈장백단백（P＝0.213）적변화균무통계학의의。결론경피내경하위조루술후조기위양불회증가병발증적발생，가이재술후3h진행수차위양。
Objective To study the reliability and feasibility of early enteral nutrition in patients performed percutaneous endoscopic gastrostomy(PEG). Methods 105 successive patients who met the entry criteria were enrolled,with 55 in experimental group and 50 in control group.patients in experimental group were given feedings at 3 hours after PEG placement,others in control group were given feedings at 12 hours after PEG. The change in abdominal girth before and 1 hour after the initial feeding and complications in 72 hours and 4 weeks after PEG and the change in nutritional indicator (hemoglobin,triglycerides,and serum albumin) before and 4 weeks after PEG were compared. Results There were no statistical differences between the groups for age,sex or entity distribution. The changes in abdominal girths were also similar and statistically not significantly different (P=0.610). The complications in 72 hours(P=0.843) and 4 weeks (P=0.880) after PEG was statistically the same between the experimental and control groups. The change in hemoglobin(P=0.911),triglycerides(P=0.655),and serum albumin(P=0.213) before and 4 weeks after PEG were also similar and statistically not significantly different. Conclusion Feedings after PEG placement can be started as soon as 3 hours after the procedure is completed with no increase in complications.
