Strategy of percutaneous endoscopic gastrostomy in stoke patients with dysphagia in Sydney South West Area Australia

VernacularTitle:内镜下经皮胃造瘘术在悉尼西南区脑卒中吞咽功能障碍患者中的应用对策分析
Publication Type:Journal Article
Keywords: Deglutition disorders; Stroke; Gastrostomy
From: Chinese Journal of Geriatrics 2012;(12):1073-1075
CountryChina
Language:Chinese
Abstract: Objective To compare the results of aspiration pneumonia and upper digestive tract bleeding before and after percutaneous endoscopic gastrostomy(PEG),and to evaluate and predicate risk of death that can help to decide PEG by means of critical parameter score system.Methods A total of 52 patients undergoing PEG feeding due to persistent deglutition disorders during the period of 6 months were retrospectively consecutive studied.Parameter means as critical points were created as scoring system,and the scores were calculated to analyse the difference between survival group and death group.Results No statistic difference was found in rates of aspiration pneumonia[50.0％(26/52) vs.34.6 ％ (18/52),x2 ＝ 2.52,P ＝ 0.164] and upper gastrointestinal hemorrhage[5.8 ％ (3/52)vs.7.7％ (4/52),x2 ＝0.15,P＝1.000] between before PEG and after PEG.There was significant difference in total scores between the death group (16 cases) and survival group (36 cases) (10.9 ±0.3 vs.9.4±0.2,t＝3.81,P＝0.001).Conclusions PEG can't reduce morbidities of aspiration pneumonia and upper gastrointestinal hemorrhage.Scoring system may guide clinicians for selecting patients for PEG.