摘要
目的分析经皮内镜下胃造瘘术对假性球麻痹患者肺部感染的影响。方法选取我院脑卒中后发生假性球麻痹而未实施经皮内镜下胃造瘘术的患者73例作为传统组,另选取我院脑卒中后发生假性球麻痹实施经皮内镜下胃造瘘术的患者50例作为观察组,观察两组肺部感染发生率以及患者肺部感染与格拉斯哥昏迷(GCS)评分的相关性,并记录经皮内镜下胃造瘘术的不良反应。结果传统组患者发生肺部感染率57.5%(42/73),观察组则22.0%(11/50),两组比较观察组明显少于传统组(P<0.01);患者经皮内镜下胃造瘘术肺部感染情况与患者的昏迷程度密切关系(经Spearman相关性分析,r=0.435,P<0.01)。结论对于假性球麻痹患者实施经皮内镜下胃造瘘术可有效减少患者肺部感染发生率,有利于患者的恢复,相对于其不良反应事件,临床的预防效应影响更大,值得进一步推广和研究。
Objective To analyze the influence of percutaneous endoscopic gastrostomy（PEG） on pulmonary infection caused by pseudobulbar palsy.Methods Seventy-three patients suffering from pseudobulbar palsy after stroke but never receiving PEG,hospitalized in our hospital,were enrolled as traditional group.Fifty patients suffering from pseudobulbar palsy after stroke and received PEG in our hospital were enrolled as observation group.The incidence rates of pulmonary infection in both groups were investigated and the correlation between the incidence rate of pulmonary infection and Glasgow Coma Scoring（GCS） in observation group was analyzed.The adverse reactions of PEG were also recorded.Results The incidence rate of pulmonary infection was 57.5％ in traditional group and 22.0％ in observation group,showing significant difference between two groups （P ＜ 0.01）.Spearman correlation analysis showed the incidence rate of pulmonary infection caused by PEG was closely correlated with the degree of coma （r =-0.435,P ＜ 0.01）.Conclusion For patients with pseudobulbar palsy,PEG could reduce the incidence of pulmonary infection and improve the recovery.Although the adverse events exist,the protective effects of PEG are more significant.Thus,it is worthy to be generalized and further studied.
出处
《临床荟萃》
CAS
2014年第10期1162-1164,共3页
Clinical Focus
