胃口技术的比较中风患者与缺食症:一个透平衡的分析
Armaun D Rouhi1, Sebastian Leon1, Jeffrey L Roberson1
1Department of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
The Journal of surgical research
|October 22, 2024
概括
放射性插入胃口 (RIG) 可能提供较低的外科手术期间发病率相比,皮肤内胃口 (PEG) 在中风患者的失. 仔细的患者选择对于优化肠道养技术的结果至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 神经学 神经学
- 外科手术的结果
背景情况:
- 肠道营养对于因脑梗塞而导致失消的患者至关重要.
- 穿皮内镜胃口术 (PEG) 和放射性插入胃口术 (RIG) 是肠道养的常见方法.
- 在这种特定患者群体中,PEG与RIG的比较结果需要进一步调查.
研究的目的:
- 为了比较PEG和RIG在成年患者中经过手术前期的结果,这些患者患有脑梗塞导致的食障碍.
- 确定影响肠道养胃口安置患者结果的因素.
主要方法:
- 在2018年至2020年期间接受PEG或RIG的成年中风患者的回顾性评估.
- 使用平衡权重来调整基线特征差异.
- 多变量加权后勤和线性回归分析了RIG和结果之间的关联.
主要成果:
- 与PEG相比,RIG与重新手术,脑血管事故和ICU入院的几率显著降低.
- 在PEG和RIG之间,实现目标料的时间是可比的.
- 动作不良,心肌梗塞和肥胖被确定为RIG患者住院死亡的危险因素.
结论:
- 在中风患者中,PEG和RIG都有效用于肠道养.
- RIG可能与手术后发病率的降低有关.
- 患者的并发症和局部转诊模式需要在技术选择时仔细考虑.
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