经皮内镜胃造瘘术在肌萎缩侧索硬化患者中的应用价值  

The value of percutaneous endoscopic gastrostomy in patients with amyotrophic lateral sclerosis

作　　者：马玉环 黄永辉[1] Ma Yuhuan;Huang Yonghui(Department of Gastroenterology,Peking University Third Hospital,Beijing 100083,China)

机构地区：[1]北京大学第三医院消化科,北京100083

出　　处：《中华老年医学杂志》2024年第5期646-650,共5页Chinese Journal of Geriatrics

摘　　要：经皮内镜胃造瘘术(PEG)是一种常见的用以提供肠内营养的方式,适用于需要长期肠内营养的患者。PEG的临床应用涵盖多个领域,包括神经肌肉疾病、消化系统疾病、恶性肿瘤和慢性疾病等。其中肌萎缩侧索硬化(ALS)是重要的适应证之一,ALS是一种进行性神经肌肉疾病,好发于中老年人,常导致吞咽困难和营养不良。研究表明,通过PEG提供肠内营养可以改善ALS患者的预后和生存期。本文将综述PEG在ALS患者中的临床应用价值。Percutaneous endoscopic gastrostomy(PEG)is a common method of enteral nutrition commonly used in patients requiring long-term intestinal feeding.PEG has been widely applied in various fields,including neuro-muscular diseases,gastrointestinal disorders,malignant tumors,and chronic illnesses.Among them,Amyotrophic lateral sclerosis(ALS)is one of the important indications for PEG.ALS is a progressive neuro-muscular disease that predominantly affects middle-aged and elderly individuals,often leading to swallowing difficulties and malnutrition.Studies have shown that providing enteral nutrition through PEG can improve the prognosis and survival of ALS patients.This article aims to review the clinical application value of PEG in ALS patients.

关 键 词：经皮内镜胃造瘘术 肌萎缩侧索硬化 吞咽困难 肠内营养 

分 类 号：R746.4[医药卫生—神经病学与精神病学]