CAJ | 학술논문

目的：考察鼻肠管空肠营养和经皮胃肠造瘘空肠营养在危重患者中的应用效果。方法将80例需要营养支持的危重症患者随机分为鼻肠管组（NTF组）和胃肠造瘘组（PEG组），每组40例。NTF 组接受鼻肠管空肠营养治疗，PEG 组接受经皮胃肠造瘘空肠营养治疗。比较两组患者一次性置管成功率、操作时间、营养指标变化和并发症发生率。结果两组患者一次性置管成功率和操作时间无统计学差异（P＞0.05）。胃肠造瘘组淋巴细胞数目、血红蛋白、总蛋白和白蛋白水平显著高于鼻肠管组（P＜0.01）。胃肠造瘘组患者并发症发生率显著低于鼻肠管组（P＜0.05）。结论经皮胃肠造瘘空肠营养应用于危重患者的治疗效果优于鼻肠管空肠营养，且不良反应发生率更低，具有临床应用价值。
목적：고찰비장관공장영양화경피위장조루공장영양재위중환자중적응용효과。방법장80례수요영양지지적위중증환자수궤분위비장관조（NTF조）화위장조루조（PEG조），매조40례。NTF 조접수비장관공장영양치료，PEG 조접수경피위장조루공장영양치료。비교량조환자일차성치관성공솔、조작시간、영양지표변화화병발증발생솔。결과량조환자일차성치관성공솔화조작시간무통계학차이（P＞0.05）。위장조루조림파세포수목、혈홍단백、총단백화백단백수평현저고우비장관조（P＜0.01）。위장조루조환자병발증발생솔현저저우비장관조（P＜0.05）。결론경피위장조루공장영양응용우위중환자적치료효과우우비장관공장영양，차불량반응발생솔경저，구유림상응용개치。
ObjectiveTo compare the clinical effects of nasojejunal tube feeding (NTF) and percutaneous endoscopic gastrostomy (PEG) in the treatment of critically ill patients.MethodsA total of 80 critically ill patients were randomly divided into NTF group and PEG group, 40 patients in each group. The cannulation success rate, operative time, nutrition indicators and complications rate were compared between two group.ResultsThere was no significantly difference of cannulation success rate and operative time between two groups (P>0.05). The number of lymphocytes, hemoglobin, total protein and albumin level in PEG group was significantly higher than those in NTF group (P<0.01). The complication rate in PEG group was significantly less than that in NTF group (P<0.05).ConclusionPercutaneous endoscopic gastrostomy used in the treatment of criticaly ill patients can significantly improve the nutrition of patients and decrease complication rate, makes it worth for clinical application.