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经皮内窥镜引导下胃造口术在神经系统疾病治疗中的应用 被引量：9

Application of Percutaneous Endoscopic Gastrostomy in Patients with Neurological Diseases
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摘要 经皮内窥镜引导下胃造口术(PEG)是针对神经系统疾病造成的球麻痹患者维持长期营养及预防呛咳的最好方法,使用逐年增多。目前多用于脑卒中及肌萎缩侧索硬化,但对PEG置放的时机、风险和对延长存活期的价值仍需更多的循证医学研究。老年期痴呆患者应用PEG是否有益处争议较大,有待于积累经验。 Percutaneous endoscopic gastrostomy （PEG） has been increasingly used in treating patients with neurogenic dysphagia to improve nutrition status and prevent choking. PEG is mostly used for stroke and amyotrophic lateral sclerosis, although more evidence-based researches are required to assess the timing, risks, and survival benefits. Its application in senile dementia is still controversial.
作者 李晓光
机构地区 中国医学科学院北京协和医学院北京协和医院神经科
出处 《中国医学科学院学报》 CAS CSCD 北大核心 2008年第3期245-248,共4页 Acta Academiae Medicinae Sinicae
关键词 经皮内窥镜引导下胃造口术 卒中 肌萎缩侧索硬化 老年期痴呆 percutaneous endoscopic gastrostomy stroke amyotrophic lateral sclerosis senile dementia
分类号 R741 [医药卫生—神经病学与精神病学]
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参考文献19

  • 1Loser CG, Aschl G, Hebuteme X, et al. ESPEN guidelines on artificial enteral nutrition-percutaneous endoscopic gastrostorey (PEG) [J]. Clin Nutr, 2005, 24(5):848-861.
  • 2Davis JP, Wong AA, Schluter PJ, et al. Impact of premorbid undemutrition on outcome in stroke patients [ J ]. Stroke, 2004, 35(8):1930-1934.
  • 3Food Trial Collaboration. The Food Trial Collaboration Poor nutritional status on admission predicts poor outcomes after stroke : observational data from the FOOD trial [ J ]. Stroke, 2003, 34 ( 6 ) : 1455-1456.
  • 4Elia M, Stratton R J, Holden C, et al. Home enteral tube feeding following cerebrovascular accident [ J ]. Clin Nutr, 2001, 20( 1 ) :27-30.
  • 5Food Trial Collaboration. Effect of timing and method of enteral tube feeding for dysphagic stroke patients (FOOD) : a multicentre randomisedcontrolled trial [ J ]. Lancet, 2005, 365 (9461) :764-772.
  • 6李晓光,郭玉璞.运动神经元病流行病学[M]//李士钊,程学铭,王文志,等.神经疾病流行病学.北京:人民卫生出版社,2001:284-289.
  • 7Hardiman O. Symptomatic treatment of respiratory and nutritional failure in amyotrophic lateral sclerosis [ J ]. J Neurol, 2000, 247 ( 4 ) : 245-251.
  • 8Mazzini L, Corra T, Zaccala M, et al. Percutaneous endoscopic gastrostomy and enteral nutrition in amyotrophic lateral sclerosis [J]. J Neurol, 1995, 242(10) :695-698.
  • 9Heffeman C, Jenkinson C, Holmes T, et al. Nutritional management in MND/ALS patients: an evidence based review [ J]. Amyotroph Lateral Scler Other Motor Neuron Disord, 2004, 5(2) :72-83.
  • 10Mitsumoto H, Davidson M, Moore D, et al. Percutaneous endoscopic gastrostomy (PEG) in patients with ALS and bulbar dysfunction [ J ]. Amyotroph lateral Scler Other Motor Neuron Disord, 2003, 4(3) :177-185.

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引证文献9

二级引证文献46

中国医学科学院学报
2008年 第3期

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