Nutrition Effect Comparison of Percutaneous Endoscopic Gastrostomy and Nasogastric Feeding in Post-Stroke Patients with Dysphagia

Chinese Journal of Stroke(2011)

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摘要
Objective To compare the enteral nutrition efficiency of percutaneous endoscopic gastrostomy(PEG) with nasogastric feeding(NGF) in post-stroke patients with dysphagia. Methods Seventy-six patients with post-stroke dysphagia were divided into 2 groupsiPEG enteral nutrition group(n=36) and nasogastric feeding(NGF) group(n=40).Patients in both groups were fed with same nutrient fluids.Complications such as pulmonary infections,reflux esophagitis, gastrointestinal hemorrhage,hypoalbuminemia and electrolyte disturbances were also compared. Results The incidences of above complications were 7.5%、7.5%、5%、5% and 2.5% for the PEG group,25%,27.8%,22.2%,22.2% and 16.7% for the NGF group.The incidences of all complications in PEG enteral nutrition group were significantly lower than those in NGF group(all P0.05,respectively). Conclusion PEG enteral nutrition had an advantage over NGF in improving nutritional status of patients and in reducing complications,and it may be a better way to improve the nutrition state in patients with post-stroke dysphagia.
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关键词
dysphagia,nasogastric feeding,percutaneous endoscopic gastrostomy,nutrition,post-stroke
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