内镜下经皮胃造瘘对老年患者生活质量的影响

Effect of percutaneous endoscopic gastrotomy on life quality of elderly patients

目的:评价内镜下经皮胃造瘘(PEG)在老年患者的应用、安全性及对生活质量的影响.方法:对32例PEG老年患者进行回顾性分析,采用同组对照的方法比较PEG与鼻胃管饲对患者的影响.结果:32例老年患者均在局麻下成功进行了PEG,仅1例发生造瘘口周围皮肤感染,抗生素治疗后短期内恢复.PEG较鼻胃管饲患者更易于接受,导管不易堵塞,能降低吸入性肺炎及反流性食管炎(15.6% vs 46.8%,P<0.05)的发生率,提高生活质量.结论:PEG是一种安全有效的治疗方法,较鼻胃管饲能明显降低吸入性肺炎、反流性食管炎的发生率.

AIM： To evaluate the safety and efficacy of percutaneous endoscopic gastrotomy （PEG） in the treatment of elderly patients with dysphagia. METHODS： A total of 32 elderly patients dysphagia were treatment with PEG after nasogastric tube feeding, and the results were compara- tively analyzed. RESULTS： PEG was successfully performed in all of the patients under local anesthesia. Only 1 patient developed procedure-related infection which was rapidly controlled by antibiotics. PEG was more easily accepted than nasogastric tube feeding. The occurrence rates of aspiration pneumonia and reflux esophagitis （15.6% vs 46.8%, P 〈 0.05） were lower after PEG than those after nasogastric tube feeding. CONCLUSION： PEG was safe and effective in the treatment of patients with dysphagia, and it is superior to tube feeding in decreasing aspiration pneumonia and reflux esophagitis.