CAJ | 학술논문

目的：探讨内镜下胃造瘘术（percutaneous endoscopic gastrostomy，PEG）在胃肠内营养支持的应用价值。方法将96例因危重疾病致进食困难、咽麻痹的患者随机分为两组，对照组48例采用鼻胃管鼻饲进行胃肠内营养支持，观察组48例实施 PEG 胃肠内营养支持。结果观察组术后7d、14d 血清前白蛋白、白蛋白、血红蛋白、淋巴细胞水平均高于对照组（P ﹤0.05或 P ﹤0.01），白细胞低于对照组（P ﹤0.05），体质量指数（BMI）大于对照组（P﹤0.05）；观察组入住 ICU 时间短于对照组（P ﹤0.01）；观察组并发症发生率低于对照组（P ﹤0.05）。结论 PEG操作简便，患者适应性好，可有效改善患者营养状况，降低并发症的发生率。
목적：탐토내경하위조루술（percutaneous endoscopic gastrostomy，PEG）재위장내영양지지적응용개치。방법장96례인위중질병치진식곤난、인마비적환자수궤분위량조，대조조48례채용비위관비사진행위장내영양지지，관찰조48례실시 PEG 위장내영양지지。결과관찰조술후7d、14d 혈청전백단백、백단백、혈홍단백、림파세포수평균고우대조조（P ﹤0.05혹 P ﹤0.01），백세포저우대조조（P ﹤0.05），체질량지수（BMI）대우대조조（P﹤0.05）；관찰조입주 ICU 시간단우대조조（P ﹤0.01）；관찰조병발증발생솔저우대조조（P ﹤0.05）。결론 PEG조작간편，환자괄응성호，가유효개선환자영양상황，강저병발증적발생솔。
Objective:To investigate the endoscopic gastrostomy(percutaneous endoscopic gastrostomy,PEG)applica-tions in enteral nutrition support. Methods:Ninty-six patients with pharyngeal paralysis were randomly divided into two groups,with the control group of 48 patients using nasogastric feeding tube enteral nutritional support and the observation group of 48 cases of gastrointestinal nutrition through the implementation of the PEG. Results:Prealbumin,albumin,he-moglobin and lymphocyte levels in the observation group after 7d,14d were higher(P ﹤ 0. 05 or P ﹤ 0. 01),white blood cells were lower than those of the control group(P ﹤ 0. 05),body mass index(BMI)was higer than that of the control group;observation time of ICU admission group was shorter than that of the control group(P ﹤ 0. 01);observation group complication rate was lower than that of the control group(P ﹤ 0. 05). Conclusion:PEG is simple in operation and adaptabe to the patient,which can effectively improve the nutritional status of patients with few complications.