CAJ | 학술논문

目的：比较经皮内镜下胃造口营养治疗（ PEG）与鼻饲法在重度颅脑外伤患者中应用的效果。方法选取2010年5月-2013年5月收治的重度颅脑外伤患者80例，随机分为PEG组与鼻饲组，每组40例。 PEG组行经皮内镜下胃造口术进行营养治疗，鼻饲组用鼻饲法进行营养治疗。出院前采用格拉斯哥结果评分（ GOS）评分评定患者预后情况，比较并发症发生情况。结果 PEG组GOS评分良好患者29例，鼻饲组17例，差异有统计学意义（χ2＝7．3657，P＜0．01）；PEG 组患者平均住院时间为（32．41±3．27）d，鼻饲组为（38．16±5．33）d，差异有统计学意义（t＝5．816，P＜0．01）；PEG组患者发生反流12例、胃黏膜糜烂7例、吸入性肺炎13例，均低于鼻饲组，差异有统计学意义（χ2值分别为4.1779，4.9428，12．8321；P＜0．05）。结论经皮内镜下胃造口营养治疗在重度颅脑外伤患者护理方面的价值高于鼻饲法。
목적：비교경피내경하위조구영양치료（ PEG）여비사법재중도로뇌외상환자중응용적효과。방법선취2010년5월-2013년5월수치적중도로뇌외상환자80례，수궤분위PEG조여비사조，매조40례。 PEG조행경피내경하위조구술진행영양치료，비사조용비사법진행영양치료。출원전채용격랍사가결과평분（ GOS）평분평정환자예후정황，비교병발증발생정황。결과 PEG조GOS평분량호환자29례，비사조17례，차이유통계학의의（χ2＝7．3657，P＜0．01）；PEG 조환자평균주원시간위（32．41±3．27）d，비사조위（38．16±5．33）d，차이유통계학의의（t＝5．816，P＜0．01）；PEG조환자발생반류12례、위점막미란7례、흡입성폐염13례，균저우비사조，차이유통계학의의（χ2치분별위4.1779，4.9428，12．8321；P＜0．05）。결론경피내경하위조구영양치료재중도로뇌외상환자호리방면적개치고우비사법。
Objective To compare the nursing effect of the percutaneous endoscopic gastrostomy ( PEG) and nasal feeding in the patients with severe traumatic brain injury .Methods Eighty patients with severe traumatic brain injury from May 2010 to May 2013 were chosen and randomly divided into the PEG group and the nasal feeding group .The PEG group received the nutritional therapy through the PEG , and the nasal feeding group received the nutritional therapy through the nasal feeding .The prognosis was evaluated by the Glasgow outcome score ( GOS ) before discharge , and the complication was compared between two groups . Results The cases of the good score of GOS in the PEG group were 29 cases, and were 17 cases in the nasal feeding group, and the difference was statistically significant (χ2 =7.3657,P<0.01).The average days of hospital stays were (32.41 ±3.27) d in the PEG group, and were (38.16 ±5.33) d in the nasal feeding group, and the difference was statistically significant (t =5.816,P <0.01).The cases of reflux, gastric mucosal erosion and aspiration pneumonia were respectively 12, 7, 13 cases in the PEG group, and were lower than those of the nasal feeding group , and the differences were statistically significant (χ2 =4.1779,4.9428, 12.8321, respectively;P<0.05).Conclusions The value of PEG is higher than that of the nasal feeding in the nursing of the patients with severe traumatic brain injury .