内镜下经皮胃造瘘对老年患者生活质量的影响

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.

Effect of percutaneous endoscopic gastrotomy on life quality of elderly patients

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 dys- phagia were treatment with PEG after nasogas- tric 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 aspira- tion pneumonia and reflux esophagitis.