神经疾病中的放射性插入胃口管:一项回顾性研究
Brittany Marie Zaita1, Abheek Ghosh2, Sean Lee1
1Department of Biomedical Science, Touro College of Osteopathic Medicine, Middletown, United States.
Journal of clinical imaging science
|November 9, 2023
概括
用气球装置进行放射性插入胃口术 (RIG) 在神经病患者中显示出与非气球装置相似的并发症率. 在这个人群中,RIG为肠道营养提供了一个有价值的替代方案.
科学领域:
- 医疗器械 医疗器械
- 胃肠病学 胃肠病学
- 神经学 神经学
背景情况:
- 肠道营养对于患有影响吞的神经疾病的患者至关重要.
- 放射性插入胃口术 (RIG) 提供了一种对肠道进入的微创方法.
- 将不同类型的RIG设备进行比较对于优化患者护理至关重要.
研究的目的:
- 为了比较气球与RIG程序中使用的非气球 (扩张器) 胃口器械的安全性和有效性.
- 分析神经疾病患者的并发症率和手术结果.
主要方法:
- 在2017年7月至2020年9月接受RIG的152名患者的回顾性分析.
- 气球 (n=104) 和非气球 (n=48) 组的比较.
- 分析包括并发症频率,恢复时间,光镜时间,辐射剂量和疼痛管理.
主要成果:
- 整体并发症率为33.8%,气球和非气球RIG组之间没有统计学上显著的差异.
- 气球组显示了更短的光镜时间,更低的辐射暴露和更短的操作时间的趋势.
- 后勤回归表明,BMI,年龄或性别对轻微并发症发生率没有显著影响.
结论:
- 在患有神经疾病的患者中,RIG管插入是肠道支持的有价值的替代方案.
- 气球和非气球RIG设备显示了可比的安全性和有效性.
- 进一步的研究可能会探索特定的患者子组,以改进设备选择.
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