立即使用的策略是安全和有效的延迟使用的策略,通过皮肤内镜胃口管放置后:一个回顾性队列研究
David Hanna1, Michael Makar1, Andrea Berger2
1Department of Gastroenterology, Hepatology, and Clinical Nutrition, Geisinger Medical Center, Danville, Pennsylvania, USA.
JPEN. Journal of parenteral and enteral nutrition
|October 31, 2023
概括
穿皮内镜胃口管 (PEG) 立即用于肠道营养,与延迟使用一样安全. 这项研究发现,早期PEG养没有增加并发症,发病率或死亡率.
科学领域:
- 胃肠病学 胃肠病学
- 手术手术手术手术手术手术手术手术手术手术
- 临床营养学 临床营养学
背景情况:
- 穿皮内镜胃口 (PEG) 管放置是长期肠道养的常见方法.
- 目前的做法通常涉及到在PEG放置后延迟输管养.
研究的目的:
- 评估PEG管安置后立即开始肠道营养的可行性和安全性.
- 为了比较PEG管食的即时和延迟之间的并发症率.
主要方法:
- 从2006年8月到2016年8月进行了一项回顾性队列研究.
- 患者被分为两组:延迟食 (≥4小时) 和立即食 (<1小时).
- 主要结局包括30天的并发症率;次要结局评估了发病率,死亡率,停留时间和重复PEG安置.
主要成果:
- 这项研究包括1296名患者 (704人延迟,592人立即).
- 在立即和延迟使用PEG之间没有观察到并发症率的显著差异 (4.4%与3.4%,P=0.76).
- 对住院患者和门诊患者的亚组分析显示,并发症,死亡率,再入院或住院时间没有显著差异.
结论:
- 在PEG安置后立即开始肠道营养是安全的和可行的.
- 与延迟养相比,早期养不会导致并发症,发病率或死亡率的增加.
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