De Vivo P, Mastronardi P, Ciritella P, Del Gaudio A, Marzano T F, De Razza L, Mazzarella B
II Servizio di Anestesia e Rianimazione, Ospedal Casa Sollievo della Sofferenza IRCCS, San Giovanni Rotondo (FG), Italy.
Minerva Anestesiol. 1996 Jun;62(6):197-201.
Enteral feeding by percutaneous gastrostomy is recommended as the "best choice" in NICU patients. It allows us to obtain early gut activation and to prevent physiopathologic events leading to multiorgan failure syndrome. In this retrospective study the Authors describe their experience related to 76 patients admitted in NICU between January 1992 and April 1994. In these patients percutaneous gastrostomy was easily and safety performed at the bedside with early enteral nutrition and drug administration and a related low incidence of infections complicating central and peripheral vein catheterization. Moreover the authors underline the avoidance of nasogstric tube and its side effects and a good compliance of patients and nurses that seems to be a real advantage of this technique. The authors suggest their 13 guidelines to improve management of enteral nutrition by gastrostomy and to avoid its short-comings.
经皮胃造口肠内喂养被推荐为新生儿重症监护病房（NICU）患者的“最佳选择”。它使我们能够尽早激活肠道，并预防导致多器官功能衰竭综合征的病理生理事件。在这项回顾性研究中，作者描述了他们在1992年1月至1994年4月期间收治于NICU的76例患者的相关经验。在这些患者中，经皮胃造口术在床边易于且安全地进行，可实现早期肠内营养和药物给药，且与中心静脉和外周静脉置管相关的感染并发症发生率较低。此外，作者强调避免使用鼻胃管及其副作用，以及患者和护士的良好依从性，这似乎是该技术的一个真正优势。作者提出了13条指南，以改善经胃造口肠内营养的管理并避免其缺点。
