经皮内镜下胃造口空肠置管术在意识障碍患者中的应用

目的 探讨经皮内镜下胃造口空肠置管术（PEJ）在意识障碍患者中临床应用的安全性及有效性.方法 回顾分析30例行PEJ意识障碍患者的临床资料,对经PEJ行肠内营养后康复疗效进行总结.结果 30例通过PEJ行肠内营养后,营养指标（体重、上臂肌围）和生化指标（血清总蛋白、转铁蛋白）的改善情况较肠内营养前比较差异具有统计学意义（P＜0.05）,其中4例重度营养不良明显改善,20例中度营养不良和6例轻度营养不良恢复正常,无一例发生误吸性肺炎.结论经PEJ行肠内营养可改善患者营养状态,避免误吸性肺炎的发生,同时在恢复期亦可行家庭肠内营养.

Application of percutaneous endoscopic gastrostomy in patients with disorder consciousness

Objective To investigate the clinical application of percutaneous endoscopic gastrostomy （PEJ） in patients with disorder of consciousness. Methods With retrospective analysis of clinical data in 30 patients with disorder of consciousness,rehabih- tation effects are summarized after enteral nutrition by PEJ. Results The improvement of nutrition indicators （body weight and arm muscle circumference） and biochemical parameters （serum total protein and transferrin） had a statistically significant difference after enteral nutrition support with PEJ in 30 patients （ P 〈 O. 05 ）. There is no case of aspiration pneumonia,four cases of severe malnutrition significant to improve,20 cases of moderate malnutrition and 6 cases of mild malnutrition to be normal significantly. Conclusion The nutritional status can be improved, aspiration pneumonia be avoided, and home enteral nutrition be also made during the recovery period in patients with disorder of consciousness by PEJ.