关键词: 卒中; 吞咽障碍; 胃镜检查; 插管法; 胃肠

Abstract: Objective To compare the enteral nutrition efficiency of percutaneous endoscopicgastrostomy(PEG) with nasogastric feeding(NGF) in post-stroke patients with dysphagia.Methods Seventy-six patients with post-stroke dysphagia were divided into 2 groups:PEG enteralnutrition group(n=36) and nasogastric feeding(NGF) group(n=40). Patients in both groups werefed with same nutrient fluids. Complications such as pulmonary infections, reflux esophagitis,gastrointestinal hemorrhage, hypoalbuminemia and electrolyte disturbances were also compared.Results The incidences of above complications were 7.5%、7.5%、5%、5% and 2.5% for thePEG group, 25%、27.8%、22.2%、22.2% and 16.7% for the NGF group. The incidences of allcomplications in PEG enteral nutrition group were significantly lower than those in NGF group(allP <0.05, respectively).Conclusion PEG enteral nutrition had an advantage over NGF in improving nutritional status ofpatients and in reducing complications, and it may be a better way to improve the nutrition state inpatients with post-stroke dysphagia.\

Key words: Stroke; Deglutition disorders; Gastroscopy; Intubation; gastrointestinal