穿皮内镜胃口术优于鼻胃口养治疗中风引起的重度失症:一项比较研究
Zhong Chang Yang1, Zhang Zu Yong2, Li Hua3
1Department of Cerebrovascular Diseases, Hangzhou Third People's Hospital, Hangzhou, Zhejiang, China (mainland).
穿皮内镜胃口 (PEG) 养改善了吞功能和营养恢复,比鼻胃 (NG) 管养更有效,在中风患者中. 此外,PEG还导致并发症减少,希望增加.
科学领域:
- 神经学 神经学
- 胃肠病学 胃肠病学
- 临床营养学 临床营养学
背景情况:
- 脑卒中引起的消化不良常常需要通过鼻胃管 (NG) 或皮肤内镜胃管 (PEG) 进行肠道食.
- 对比这些养方法的有效性和安全性对于患者的康复至关重要.
研究的目的:
- 为了比较NG管与PEG管养的结果,在中风后患有严重食障碍的患者中.
- 评估吞功能,营养状况,安全和心理健康方面的差异.
主要方法:
- 一项针对40名中风患者的随机研究,这些患者患有严重的消化不良.
- 患者被分为两组:20组接受PEG和20组接受NG食.
- 评估结果包括吞评估,营养指标,并发症率和希望水平.
主要成果:
- 两组人都表现出更好的吞功能 (标准化吞评估得分),PEG组的改善明显更大.
- 在PEG组中,营养指标和赫特希望量表得分在PEG组中得到更显著的改善.
- 与NG组相比,PEG组的整体并发症较少.
结论:
- 通过皮肤内镜胃口养显示出优异的结果,相比于鼻胃管养中风患者的食不良.
- 在改善吞功能,营养状况和患者希望方面,PEG提供了优势,具有更好的安全性.
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