Division of Gastroenterology and Nutrition, The Children's Hospital of Philadelphia, Philadelphia, PA.
J Pediatr Nurs. 2010 Apr;25(2):72-80. doi: 10.1016/j.pedn.2008.07.008. Epub 2009 May 30.
The purpose of this study was to determine the number and types of complications experienced by children with gastrostomy tubes.
This is a prospective study of children with gastrostomy tube complications. Enrollment occurred on the first 24 months of the study. Data were collected for 4 years, beginning at the enrollment of the first participant. Demographic data and information on infections, granulation tissue formation, and major complications were recorded.
Infections occurred in 37% of patients, with most experiencing a single infection that occurred within the first 15 days after tube placement. Granulation tissue developed in 68% of patients, with 17% experiencing recurrent granulation tissue despite treatment. There was no difference in infection rates or granulation tissue formation between subgroups based on gender, ethnicity, or parents' education level. Major complications occurred in 4% of the patients.
Complications of infection and granulation tissue occur frequently and likely are a cause of stress and increased burden of care for these children and families. Improved strategies for care are needed.
本研究旨在确定接受胃造口术的儿童所经历的并发症的数量和类型。
这是一项针对胃造口术并发症的前瞻性研究。研究纳入在研究的前 24 个月内发生胃造口术的儿童。数据收集时间为 4 年，从第一个参与者入组开始。记录了人口统计学数据以及感染、肉芽组织形成和主要并发症的信息。
37%的患者发生感染，大多数患者在置管后 15 天内发生单次感染。68%的患者出现肉芽组织，尽管进行了治疗，但仍有 17%的患者出现复发性肉芽组织。基于性别、种族或父母教育程度，感染率或肉芽组织形成在亚组之间没有差异。4%的患者出现严重并发症。
感染和肉芽组织并发症频繁发生，这可能是导致这些儿童及其家庭压力和护理负担增加的原因。需要改进护理策略。
