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上消化道癌症患者对经皮内镜下胃造口术的接受度与认知度

Acceptance and perception of percutaneous endoscopic gastrostomy by patients with upper aerodigestive tract cancer.

作者信息

Mighell A J, Carton A T, Boobis L H, Stassen L F

机构信息

Department of Oral and Facial Surgery, Sunderland District General Hospital, UK.

出版信息

Br J Oral Maxillofac Surg. 1995 Feb;33(1):19-22. doi: 10.1016/0266-4356(95)90080-2.

DOI:10.1016/0266-4356(95)90080-2
PMID:7718522
Abstract

Surgeons have identified a role for percutaneous endoscopic gastrostomy (PEG) in selected patients with upper aerodigestive tract cancer, but little is known about the patient's acceptance and perception of PEG. Nineteen patients with upper aerodigestive tract cancer had placement of a PEG and were asked about their perceptions via a series of descriptors and associated questions. The 13 patients who had PEG placement under local anaesthesia and intravenous midazolam were questioned 12-16 h later and reported that the procedure was comfortable and not as bad as expected. These patients together with a further 6 patients who had placement under general anaesthesia were questioned about their acceptance of the PEG tube after 10 days. Comfort, ease of use and maintenance, and coverage by clothing confirms that PEG is an acceptable delivery system for enteral nutrition in patients with upper aerodigestive tract cancer.

摘要

外科医生已确定经皮内镜下胃造口术(PEG)在部分上消化道癌症患者中的作用,但对于患者对PEG的接受度和认知了解甚少。19例上消化道癌症患者接受了PEG置管,并通过一系列描述词及相关问题询问他们的感受。13例在局部麻醉和静脉注射咪达唑仑下接受PEG置管的患者在12 - 16小时后接受询问,他们表示该操作很舒适,并没有预期的那么糟糕。这些患者以及另外6例在全身麻醉下接受置管的患者在10天后被询问对PEG管的接受情况。舒适度、使用和维护的便捷性以及衣物对其的遮盖情况证实,PEG是上消化道癌症患者可接受的肠内营养输送系统。

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引用本文的文献

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Complications of percutaneous gastrostomy in patients with head and neck cancer--an analysis of 42 consecutive patients.头颈部癌症患者经皮胃造瘘术的并发症——42例连续患者的分析
Ann R Coll Surg Engl. 1999 Jul;81(4):272-6.