肌萎缩侧索硬化患者行经皮内镜下胃造瘘术术后并发症的观察及护理_West China Medical Journal

Authors：

 梁燕 , 李银萍 , 陈德智

四川大学华西医院神经内科（成都 610041）;

Corresponding author：

Keywords：

肌萎缩侧索硬化; 经皮内镜下胃造瘘术; 并发症; 护理

DOI：

10.7507/1002-0179.20150497

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

目的对肌萎缩侧索硬化（ALS）患者经皮内镜下胃造瘘术（PEG）术后并发症的观察及护理进行总结和分析。方法回顾性分析2013年4月－2014年4月被确诊为ALS且行PEG手术的8例患者的临床资料，观察并发症发生情况并总结护理经验。结果 8例患者中1例并发腹膜炎及造瘘口疼痛自动出院；其余7例中并发造瘘口缘端感染及造瘘口疼痛1例，术后瘘口出血及造瘘口疼痛1例，造瘘口渗漏及造瘘口疼痛1例，术后造瘘口疼痛1例，3例无术后并发症。7例患者经治疗及护理后均好转并带管出院，最长保留胃造瘘管者在造瘘后第370天因留置时间到期更换胃造瘘管。结论 PEG是ALS患者出现吞咽障碍后最主要的营养支持手段，术前的充分评估及术后的密切观察、护理是减少并发症的主要手段。

Citation： 梁燕, 李银萍, 陈德智. 肌萎缩侧索硬化患者行经皮内镜下胃造瘘术术后并发症的观察及护理. West China Medical Journal, 2015, 30(9): 1736-1738. doi: 10.7507/1002-0179.20150497 Copy

1.	李晓光, 郭玉璞, 李士钊, 等. 运动神经元病流行病学[M]//李士钊. 神经疾病流行病学. 北京:人民卫生出版社, 2001:284-289.
2.	Desport JC, Preux PM, Magy L, et al. Factors correlated with hypermetabolism in patients with amyotrophic lateral sclerosis[J]. Am J Clin Nutr, 2001, 74(3):328-334.
3.	Miller RG, Jackson CE, Kasarskis EJ, et al. Practice Parameter update:the care of the patient with amyotrophic lateral sclerosis:drug, nutritional, and respiratory therapies (an evidence-based review). Report of the Quality Standards Subcommittee of the American Academy of Neurology[J]. Neurology, 2009, 73(15):1218-1226.
4.	Brooks BR, Miller RG, Swash M, et al. El Escorial revisited:revised criteria for the diagnosis of amyotrophic lateral sclerosis[J]. Amyotrophic Lateral Sclerosis, 2000, 1(5):293-299.
5.	江志伟, 汪志明, 黎介寿, 等. 经皮内镜下胃造口、空肠造口及十二指肠造口120例临床分析[J]. 中华外科杂志, 2005, 43(1):19-21.
6.	吴惠芳, 李佩尼, 黎淑珍. 15例经皮内镜下胃造瘘术的护理[J]. 全科护理, 2010, 8(35):3221-3222.
7.	Bechtold ML, Matteson ML, Choudhary A, et al. Early versus delayed feeding after placement of a percutaneous endoscopic gastrostomy:a meta-analysis[J]. Am J Gastroenterol, 2008, 103(11):2919-2924.
8.	姜跃龙, Xinsheng Liu, Daniel KY Chan. 内镜下经皮胃造瘘术的并发症及防治进展[J]. 临床消化病杂志, 2013, 25(1):58-61.
9.	刘启胜, 董卫国. 经皮内镜胃造瘘患者的循证治疗[J]. 世界华人消化杂志, 2011, 19(20):2185-2189.
10.	Wiggins TF, Kaplan R, DeLegge MH. Acute hemorrhage following transhepatic PEG tube placement[J]. Digest Dis Sci, 2007, 52(1):167-169.
11.	Wiesen AJ, Sideridis K, Fernandes A, et al. True incidence and clinical significance of pneumoperitoneum after PEG placement:a prospective study[J]. Gastrointest Endosc, 2006, 64(6):886-889.

1. 李晓光, 郭玉璞, 李士钊, 等. 运动神经元病流行病学[M]//李士钊. 神经疾病流行病学. 北京:人民卫生出版社, 2001:284-289.
2. Desport JC, Preux PM, Magy L, et al. Factors correlated with hypermetabolism in patients with amyotrophic lateral sclerosis[J]. Am J Clin Nutr, 2001, 74(3):328-334.
3. Miller RG, Jackson CE, Kasarskis EJ, et al. Practice Parameter update:the care of the patient with amyotrophic lateral sclerosis:drug, nutritional, and respiratory therapies (an evidence-based review). Report of the Quality Standards Subcommittee of the American Academy of Neurology[J]. Neurology, 2009, 73(15):1218-1226.
4. Brooks BR, Miller RG, Swash M, et al. El Escorial revisited:revised criteria for the diagnosis of amyotrophic lateral sclerosis[J]. Amyotrophic Lateral Sclerosis, 2000, 1(5):293-299.
5. 江志伟, 汪志明, 黎介寿, 等. 经皮内镜下胃造口、空肠造口及十二指肠造口120例临床分析[J]. 中华外科杂志, 2005, 43(1):19-21.
6. 吴惠芳, 李佩尼, 黎淑珍. 15例经皮内镜下胃造瘘术的护理[J]. 全科护理, 2010, 8(35):3221-3222.
7. Bechtold ML, Matteson ML, Choudhary A, et al. Early versus delayed feeding after placement of a percutaneous endoscopic gastrostomy:a meta-analysis[J]. Am J Gastroenterol, 2008, 103(11):2919-2924.
8. 姜跃龙, Xinsheng Liu, Daniel KY Chan. 内镜下经皮胃造瘘术的并发症及防治进展[J]. 临床消化病杂志, 2013, 25(1):58-61.
9. 刘启胜, 董卫国. 经皮内镜胃造瘘患者的循证治疗[J]. 世界华人消化杂志, 2011, 19(20):2185-2189.
10. Wiggins TF, Kaplan R, DeLegge MH. Acute hemorrhage following transhepatic PEG tube placement[J]. Digest Dis Sci, 2007, 52(1):167-169.
11. Wiesen AJ, Sideridis K, Fernandes A, et al. True incidence and clinical significance of pneumoperitoneum after PEG placement:a prospective study[J]. Gastrointest Endosc, 2006, 64(6):886-889.

Previous Article
Application of Adverse Nursing Events Information Management System in the Management of Patient Safety in Local Hospitals
Next Article
颈淋巴结结核外科手术的护理体会

West China Medical Journal

肌萎缩侧索硬化患者行经皮内镜下胃造瘘术术后并发症的观察及护理

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content