《中国康复理论与实践》

《中国康复理论与实践》 ›› 2011, Vol. 17 ›› Issue (11): 1081-1082.

• 论文 • 上一篇    下一篇

经皮内镜下胃造口在老年吞咽功能障碍中的应用

张锋良，高飞，陶连元，徐青   

  1. 1.中国康复研究中心北京博爱医院普外科，北京市100068；2.首都医科大学康复医学院，北京市100068。
  • 收稿日期:2011-03-18 修回日期:1900-01-01 出版日期:2011-11-25 发布日期:2011-11-25
  • 通讯作者: 徐青

Application of Percutaneous Endoscopic Gastrostomy for Elderly Deglutition Disorders: 32 Cases Report

ZHANG Feng-liang, GAO Fei, TAO Lian-yuan, et al.   

  1. Department of General Surgery, Capital Medical University School of Rehabilitation Medicine, Beijing Charity Hospital, China Rehabilitation Research Centre, Beijing 100068, China
  • Received:2011-03-18 Revised:1900-01-01 Published:2011-11-25 Online:2011-11-25

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摘要： 目的报道经皮内镜下胃造口(PEG)在老年吞咽障碍治疗中的应用。方法对32 例老年吞咽障碍患者行PEG手术，术后行肠内营养支持，每月随访1 次。比较术前和术后3 个月体重、体重指数(BMI)、血红蛋白、血清白蛋白、淋巴细胞计数和简易营养评分(MNA)。结果32 例手术均顺利，2 例术后造瘘口皮肤感染，余无并发症发生。术后3 个月，体重、BMI、血红蛋白、血清白蛋白和MNA评分改善(P<0.05)，肺部感染率下降(P<0.05)。结论PEG是老年吞咽障碍的合理有效的治疗方法。

关键词: 经皮内镜下胃造口, 吞咽障碍, 老年人

Abstract: Objective To apply the percutaneous endoscopic gastrostomy (PEG) for deglutition disorders of the elderly. Methods 32 elderlypatients with deglutition disorders accepted PEG were reviewed. They accepted post-operative enteral nutrition and were followed upmonthly with their weight, body mass index and mini-nutritional assessment (MNA). Results 2 cases presented skin infection of stoma, nomore complications happened. Their weight, body mass index and MNA improved significantly 3 months after treatment (P<0.05). ConclusionPEG is an effective treatment for the elderly deglutition disorders.

Key words: percutaneous endoscopic gastrostomy, deglutition disorders, elderly