基础医学与临床 ›› 2014, Vol. 34 ›› Issue (12): 1732-1736.

• 短篇综述 • 上一篇    下一篇

PEG在神经重症患者中的应用

赵奕1,魏俊吉2,王任直3,于健春4   

  1. 1. 北京协和医院
    2. 中国医学科学院北京协和医院神经外科
    3. 中国医学科学院 北京协和医学院 北京协和医院 神经外科
    4. 中国医学科学院北京协和医学院北京协和医院普通外科
  • 收稿日期:2014-10-09 修回日期:2014-10-21 出版日期:2014-12-05 发布日期:2014-11-25
  • 通讯作者: 魏俊吉 E-mail:weijj1999@163.com

The application of percutaneous endoscopic gastrostomy in severe neurological patients

1,Jun-ji WEI,Ren-zhi WANG,Jian-chun YU   

  • Received:2014-10-09 Revised:2014-10-21 Online:2014-12-05 Published:2014-11-25
  • Contact: Jun-ji WEI, E-mail:weijj1999@163.com

摘要: 良好的营养支持以及正确的营养支持途径可以改善神经重症患者的预后。肠内营养途径是国内外公认的神经重症患者首选的营养支持途径。鼻胃管(NGT)作为传统给予肠内营养的方式常伴有误吸、导管移位及感染等并发症,且患者不适感严重。近些年来,经皮内镜下胃造口术(PEG)已经被逐渐接受并广泛应用于临床,对于长期需要应用肠内营养支持的患者较PEG营养支持途径有并发症少、患者不适感降低等优势。PEG是目前需要长期肠内营养支持的神经重症患者较理想的营养支持途径。

关键词: 神经重症, 肠内营养, 经皮内镜下胃造口术

Abstract: A good and proper pathway which gives a nutrition support to postoperative severe neurological patients plays an important role in prognosis. Enteral nutrition is the best choice which is world-recognized for severe neurological patients. Nasogastric tube which is an traditional pathway provides enteral nutrition with a serious of complications, such like aspiration, catheter malposition, and infection. Percutaneous endoscopic gastrostomy has been more and more widely used in clinical work in recent years, and it can give post-operative patients of severe neurological diseases nutrition support with fewer complications and biliousness. PEG has been an ideal pathway to support nutrition to the post-operative of severe neurological patients who need a long-term nutritional support.

Key words: Severe neurological diseases, Enteral nutrition, Percutaneous endoscopic gastrostomy