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Semi-solid feeds may reduce the risk of aspiration pneumonia and shorten postoperative length of stay after percutaneous endoscopic gastrostomy (PEG)

机译:半固体饲料可降低吸入肺炎的风险,并经皮内窥镜胃术(PEG)后缩短术后保持长度

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Background and study aims: Feeding-related adverse events after percutaneous endoscopic gastrostomy (PEG) such as aspiration pneumonia may result in prolonged hospitalization and postoperative mortality. This study evaluated the efficacy of using semi-solid feeds to reduce feeding-related adverse events and improve clinical outcomes. Patients and methods: Patients who received PEG for enteral nutrition at our hospital between January 2014 and December 2015 were allocated to a postoperative feeding protocol that used either liquid feed or semi-solid feed. Baseline characteristics, postoperative feeding-related adverse events and clinical outcomes in the 2 groups were prospectively analysed and compared. Results: One hundred and seventeen PEG patients (age range: 59?–?97 years, male: 53) were enrolled with 72 patients given liquid feed and 45 patients receiving semi-solid feed. Baseline characteristics were similar in both groups. The semi-solid feed group experienced fewer incidence of feeding-related aspiration pneumonia (2.2?% vs. 22.2?%, P?
机译:背景和研究旨在:饲养相关的内镜胃术(PEG)如吸入肺炎,可能导致延长住院和术后死亡率。本研究评估了使用半固体饲料的功效,以减少相关的不良事件,并改善临床结果。患者及方法:2014年1月至2015年1月至2015年12月在我们医院接受肠营养的患者,分配给术后饲养方案,使用液体饲料或半固体饲料。前瞻性地分析并比较了2组术后喂养相关不良事件和临床结果的基线特征和临床结果。结果:一百七十六杆患者(年龄范围:59? - ? - ?97岁,男性:53)注册了72名患者液体饲料和45名接受半固体饲料的患者。两组基线特征在两组中相似。半固体饲料组经历了饲养相关吸汗肺炎的发病率较少(2.2?%与22.2〜22.2μm,p?<0.005)和术后较短的术后医院(12.7天与18.8天,P?<? 0.01)。在遗传感染的频率下未观察到显着差异(11.1〜12.5〜12.5μl,p?= 0.82),喂养相关的腹泻(2.2〜%vs.12.5?%,p?= 0.09)和30 - 日死费率(2.2?%与8.3?%,p?= 0.25)。结论:半固体饲料可降低吸气肺炎的风险,缩短术后术后医院的术后长度。使用半固体进料是安全的,并且当液体喂养不成功时,可以使用作为第一线馈送协议或替代方案。

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