透皮内镜胃口术是解决吸气性肺炎的解决方案,还是仅仅是一个幻觉?
Aycan Yüksel1, Dorina Esendağlı1, Polina Nezalzova1
1Department of Respiratory Medicine, Başkent University Faculty of Medicine, Ankara, Türkiye.
穿皮肠道胃口术 (PEG) 显著降低了吸入性肺炎的发生率. 然而,风险仍然存在,特别是在中风或食道癌症患者中,卧卧定位和护理人员培训的中止是关键的风险因素.
科学领域:
- 胃肠病学 胃肠病学
- 肺部病理学 肺部病理学
- 老年病的医生 老年病的医生
背景情况:
- 吸气性肺炎是一种严重的肺部感染,是由吸入异物质引起的.
- 穿皮肠道胃口术 (PEG) 是一种提供营养支持和预防吸入性肺炎的手术.
研究的目的:
- 评估PEG安置后吸入性肺炎的发病率和确定风险因素.
- 为了比较PEG插入前后吸入性肺炎的发病率.
主要方法:
- 在2019年1月至2023年12月期间接受PEG治疗的老年患者的回顾性研究.
- 吸入性肺炎发病率,死亡率和PEG前后的风险因素的比较.
主要成果:
- 吸气性肺炎的发病率从PEG前的30.1%下降到PEG后的21.9% (P = .003).
- 后PEG吸收性肺炎的显著危险因素包括晚年 (≥80岁),家庭住院,护理人员培训中止,慢性肺病,先前的吸收性肺炎,长时间的仰卧姿势,中风和食道癌症.
- 在PEG吸入肺炎后的一年死亡率为58.5%.
结论:
- PEG安置与吸入性肺炎的发病率降低有关.
- 后PEG吸入性肺炎的关键可修改的风险因素包括仰卧位置和确保受过培训的初级护理人员的连续性.
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