当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2014年
15期
61-62
,共2页
经皮内镜下胃造瘘术%吞咽障碍%临床疗效
經皮內鏡下胃造瘺術%吞嚥障礙%臨床療效
경피내경하위조루술%탄인장애%림상료효
Percutaneous endoscopic gastrostomy%Dysphagia%Clinical Effect
目的:观察经皮内镜下胃造瘘术(perutaneous endoscopic gastrotomy,PEG)治疗脑梗死合并吞咽障碍患者的临床疗效,并评估其临床应用价值及安全性。方法选取2012年2月~2013年1月湘潭市第三人民医院收治的23例脑梗死合并吞咽障碍患者,对其实施PEG,观察其临床疗效及并发症情况。结果成功实施PEG 23例,平均耗时(15.3±2.6)min。经造瘘管饲后,患者的营养状态明显改善。3例患者造瘘管局部出现红肿和脓性分泌物,1例患者造瘘管周围肉芽组织过度生长。除此之外未出现造瘘管脱出、坏死性筋膜炎、腹膜炎、胃肠穿孔及吸入性肺炎等严重并发症。结论经皮内镜下胃造瘘术对脑梗死合并吞咽障碍患者来说是一种安全有效的肠内营养方法。
目的:觀察經皮內鏡下胃造瘺術(perutaneous endoscopic gastrotomy,PEG)治療腦梗死閤併吞嚥障礙患者的臨床療效,併評估其臨床應用價值及安全性。方法選取2012年2月~2013年1月湘潭市第三人民醫院收治的23例腦梗死閤併吞嚥障礙患者,對其實施PEG,觀察其臨床療效及併髮癥情況。結果成功實施PEG 23例,平均耗時(15.3±2.6)min。經造瘺管飼後,患者的營養狀態明顯改善。3例患者造瘺管跼部齣現紅腫和膿性分泌物,1例患者造瘺管週圍肉芽組織過度生長。除此之外未齣現造瘺管脫齣、壞死性觔膜炎、腹膜炎、胃腸穿孔及吸入性肺炎等嚴重併髮癥。結論經皮內鏡下胃造瘺術對腦梗死閤併吞嚥障礙患者來說是一種安全有效的腸內營養方法。
목적:관찰경피내경하위조루술(perutaneous endoscopic gastrotomy,PEG)치료뇌경사합병탄인장애환자적림상료효,병평고기림상응용개치급안전성。방법선취2012년2월~2013년1월상담시제삼인민의원수치적23례뇌경사합병탄인장애환자,대기실시PEG,관찰기림상료효급병발증정황。결과성공실시PEG 23례,평균모시(15.3±2.6)min。경조루관사후,환자적영양상태명현개선。3례환자조루관국부출현홍종화농성분비물,1례환자조루관주위육아조직과도생장。제차지외미출현조루관탈출、배사성근막염、복막염、위장천공급흡입성폐염등엄중병발증。결론경피내경하위조루술대뇌경사합병탄인장애환자래설시일충안전유효적장내영양방법。
Objective To observe Clinical efficacy and evaluate the clinical applications and safety of percutaneous endoscopic gastrostomy (PEG) in Cerebral patients with dysphagial. Methods 23 cases of patients with dysphagia has successfully implemented with PEG were retrospectively analyzed, and the clinic effect and the complication were observed. Results 23 cases were performed with PEG successfully, the average time was (15.3±2.6)min.The nutritional status of patients improved significantly after fistula feeding. Red swelling and purulent secretion occurred in 3 patients, the skin granulation hyperplasia in 1 patient. No severe complications happened such as prolapse of tube, necrotizing fasciitis, peritonitis, gastrointestinal perforation, aspiration pneumonia. Conclusion Percutaneous endoscopic gastrostomy is a safe and effective method of enteral nutrition for patients with dysphagia.