The effect of percutaneous endoscopic gastrostomy on aspiration pneumonia of patients with dysphagia
10.3760/cma.j.issn.0254-1424.2018.01.005
- VernacularTitle:经皮内镜下胃造口术对吞咽障碍患者吸入性肺炎的影响
- Author:
Juanjuan HE
1
;
Fengping ZHENG
;
Yunwei GUO
;
Leijia LI
;
Meng DAI
;
Zulin DOU
;
Hongmei WEN
Author Information
1. 中山大学附属第三医院康复医学科
- Keywords:
Gastrostomy;
Aspiration pneumonia;
Dysphagia
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2018;40(1):24-27
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the preventive effect of percutaneous endoscopic gastrostomy (PEG) on aspiration pneumonia in patients with dysphagia.Methods The clinical data of 43 patients undertaking PEG was retrospectively collected and the incidence of aspiration pneumonia,microbiological examination of sputum and antibiotics use before and after PEG in all the patients were compared.Results After PEG,the incidence of aspiration pneumonia decreased significantly from 90.7％ to 53.5％ according to clinical diagnosis,from 70.4％ to 18.5％ according to the chest imaging.The use of β-lactamase inhibitor compound decreased significantly,but the detection rate of pseudomonas aeruginosa increased significantly compared with that before PEG.Conclusion PEG can decrease the incidence of aspiration and antibiotics use,and may increase the chances of pseudomonas aeruginosa colonization in the lower respiratory tract.
