世界最新医学信息文摘（连续型电子期刊）
世界最新醫學信息文摘（連續型電子期刊）
세계최신의학신식문적（련속형전자기간）
World Latest Medicine Information
2015年
67期
3-3,7
,共2页
重症肿瘤患者%胃造瘘术%鼻胃管置入%经皮内镜下胃造瘘
重癥腫瘤患者%胃造瘺術%鼻胃管置入%經皮內鏡下胃造瘺
중증종류환자%위조루술%비위관치입%경피내경하위조루
Severe tumor patient%Gastrostomy%Nasogastric tube placement%Percutaneous endoscopic gastrostomy
目的：比较外科胃造瘘术（Gastrostomy）、鼻胃管置入（NGT）和经皮内镜下胃造瘘（PEG）三种肠内营养支持途径，为重症肿瘤患者寻求尽可能有效且安全的肠内营养途径和置管方法。方法将笔者所在医院收治的120例需要肠内营养的重症肿瘤患者随机分成Gastrostom组、NGT组和PEG组，对比三组患者的手术时间、满意度、有效率及住院费用等差异。结果三组患者的满意度及有效率无统计学差异。Gastrostomy手术时间最长且住院费用最高。NGT手术时间较短，住院费用也较低但患者的满意度和有效率较差。PEG患者满意度及有效率均最高，住院费用及手术时间适中。结论根据患者经济情况，具体病况及其自身要求选择合适的途径，为以后患者肠内营养途径的选择提高一定的参考价值。
目的：比較外科胃造瘺術（Gastrostomy）、鼻胃管置入（NGT）和經皮內鏡下胃造瘺（PEG）三種腸內營養支持途徑，為重癥腫瘤患者尋求儘可能有效且安全的腸內營養途徑和置管方法。方法將筆者所在醫院收治的120例需要腸內營養的重癥腫瘤患者隨機分成Gastrostom組、NGT組和PEG組，對比三組患者的手術時間、滿意度、有效率及住院費用等差異。結果三組患者的滿意度及有效率無統計學差異。Gastrostomy手術時間最長且住院費用最高。NGT手術時間較短，住院費用也較低但患者的滿意度和有效率較差。PEG患者滿意度及有效率均最高，住院費用及手術時間適中。結論根據患者經濟情況，具體病況及其自身要求選擇閤適的途徑，為以後患者腸內營養途徑的選擇提高一定的參攷價值。
목적：비교외과위조루술（Gastrostomy）、비위관치입（NGT）화경피내경하위조루（PEG）삼충장내영양지지도경，위중증종류환자심구진가능유효차안전적장내영양도경화치관방법。방법장필자소재의원수치적120례수요장내영양적중증종류환자수궤분성Gastrostom조、NGT조화PEG조，대비삼조환자적수술시간、만의도、유효솔급주원비용등차이。결과삼조환자적만의도급유효솔무통계학차이。Gastrostomy수술시간최장차주원비용최고。NGT수술시간교단，주원비용야교저단환자적만의도화유효솔교차。PEG환자만의도급유효솔균최고，주원비용급수술시간괄중。결론근거환자경제정황，구체병황급기자신요구선택합괄적도경，위이후환자장내영양도경적선택제고일정적삼고개치。
ObjectiveTo compare three enteral trophic supporting pathways including surgical gastrostomy, nasogastric tube placement (NGT) and percutaneous endoscopic gastrostomy (PEG), to find as effective and safe trophic supporting pathways and tube placement as possible for critical cancer patients﹒Method divide 120 cases critical cancer patients needing enteral nutrition treated by the author in our hospital in to Gastrostom, NGT and PEG group respectively, and compare three groups patients with operation time, satisfaction, efficiency and hospitalization expenses and etc. Result there was no statistical difference for satisfaction and effective rate between three groups﹒ Gastrostomy operation has the longest time and highest cost of hospitalization. NGT has short operation time and lower hospitalization cost, but patient's satisfaction and effective rate is relatively low﹒ And PEG patients have highest satisfaction and effective rate, and moderate hospitalization cost and operation time﹒ Conclusion choosing suitable pathway according to patient’s economic situation, specific state of illness and personal requirements may provide some certain reference for future enteral nutrition path of patients﹒
