目的 探讨早期经皮内镜下胃造口术在重型颅脑损伤患者营养中的临床应用价值.方法 将诊断为重型颅脑损伤的69 例患者按随机数字表法分组,研究组34 例给予经皮内镜下胃造口术,对照组35 例给予普通鼻饲,观察两组治疗期间的营养状况与并发症、住院时间与出院时治疗效果.结果 两组营养生化指标差异无统计学意义(P>0.05),反流与吸入性肺炎并发症发生率及治疗有效率、住院时间比较两组差异有统计学意义(P＜0.05).结论 重型颅脑损伤早期经皮内镜下胃造口术营养治疗配合有效的护理干预,降低了患者反流及吸入性肺炎发生率,缩短了住院时间,提高了综合疗效,更有利于患者康复.%Objective To study the clinical application of percutaneous endoscopic gastrostomy (PEG) in patients with severe traumatic brain injury (STBI). Methods A total of 69 STBI patients were randomly divided into study group of 34 cases with PEG and control group of 34 cases with nasogastric tube. Their nutritional status and complications were closely observed. Meanwhile, length of stay and therapeutic effect were recorded. Results The nutritional biochemical parameters of two groups showed no significant difference (P>0.05) while the incidence of backflow and aspiration pneumonia, therapeutic effect and length of stay revealed statistical significance (P<0.05). Conclusion During the early stage of STBI, the combination of PEG nutrition treatment with effective nursing interventions would reduce the incidence of backflow and aspiration pneumonia and shorten the length of stay.
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