| 钟长扬,刘克洪,李华铭,等.脑卒中重度吞咽障碍患者行经皮内镜下胃造瘘术与鼻胃管喂养效果比较[J].中国临床保健杂志,2021,24(2):262-265. |
| 脑卒中重度吞咽障碍患者行经皮内镜下胃造瘘术与鼻胃管喂养效果比较 |
| Comparison of the effects of nasogastric feeding and percutaneous endoscopic gastrostomy in the treatment of severe dysphagia after stroke |
| 投稿时间：2020-09-01 |
| DOI：10.3969/J.issn.1672-6790.2021.02.027 |
| 中文关键词: 卒中 吞咽障碍 营养支持 喂饲方法 |
| 英文关键词: Stroke Deglutition disorders Nutritional support Feeding methods 〖FL |
| 基金项目:浙江省卫生科技项目(2018KY594) |
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| 中文摘要: |
| 目的 对比行经皮内镜下胃造瘘术(PEG)和鼻胃管喂养(NGF)两种不同喂养方法对脑卒中合并严重吞咽功能障碍患者的并发症、营养指标和预后的影响。方法 选取某综合性医院康复科2018年1月至2019年12月收治的70例脑卒中后重度吞咽功能障碍患者为研究对象,按照随机数字表法将其分为两组,每组各35例。观察组在全身麻醉下行PEG,对照组行NGF给予相同肠内营养液及辅食,30 d后,比较两组患者的营养指标、并发症发生率。结果 PEG组治疗后体质指数(19.35±0.27)kg/m2,感染的发生率25.71％,消化道出血发生率5.71%,低蛋白血症发生率8.57％。NGF组治疗后体质指数(18.72±0.35)kg/m2,感染的发生率54.29％,消化道出血发生率28.57%,低蛋白血症发生率34.29％。PEG组在营养指标、并发症发生率等方面均优于NGF组(P<0.05)。结论 PEG比NGF更能改善患者的营养指标、减少感染、对于脑卒中合并严重吞咽功能障碍的患者可首选PEG。 |
| 英文摘要: |
| Objective To explore and compare the clinical effects of nasogastric feeding and percutaneous endoscopic gastrostomy in the treatment of stroke patients with severe dysphagia. Methods 70 patients with severe stroke dysphagia who admitted to the hospital from January 2018 to December 2019 were included in the study. According to the random number table method, they were divided into the gastrostomy group (35 patients) and the nasogastric feeding group (35 patients). Percutaneous endoscopic gastrostomy was performed in the gastrostomy group and nasogastric feeding group. Differences in swallowing function, nutritional recovery, and complication were analyzed between the two groups.Results AFTER intervention, the weight index of PEG group was the degree of reduction in the gastrostomy group [(19.35±0.27)kg/m2]. The incidence of complications of infection 25.71%.The incidence of gastrointestinal bleeding was 5.71%, The incidence of hypoabularemia was 8.57％.The weight index of NGF group was the degree of reduction in the gastrostomy group [(8.72±0.35)kg/m2]. The incidence of complications of infection was 54.29％,The incidence of gastrointestinal bleeding was 28.57%, The incidence of hypoabularemia was 34.29％, PEG group was better than that in the NGF group (all P<0.05).Conclusion Percutaneous endoscopic gastrostomy is more effective than nasogastric feeding in patients with severe stroke dysphagia,which can significantly improve the swallowing function of patients, promote the recovery of nutrition. |
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