Application of the percutaneous endoscopic gastrostomy and nasal feeding in the patients with severe traumatic brain injury

Abstract

Objective To compare the nursing effect of the percutaneous endoscopic gastrostomy （ PEG） and nasal feeding in the patients with severe traumatic brain injury .Methods Eighty patients with severe traumatic brain injury from May 2010 to May 2013 were chosen and randomly divided into the PEG group and the nasal feeding group .The PEG group received the nutritional therapy through the PEG , and the nasal feeding group received the nutritional therapy through the nasal feeding .The prognosis was evaluated by the Glasgow outcome score （ GOS ） before discharge , and the complication was compared between two groups . Results The cases of the good score of GOS in the PEG group were 29 cases, and were 17 cases in the nasal feeding group, and the difference was statistically significant （χ2 =7.3657,P〈0.01）.The average days of hospital stays were （32.41 ±3.27） d in the PEG group, and were （38.16 ±5.33） d in the nasal feeding group, and the difference was statistically significant （t =5.816,P 〈0.01）.The cases of reflux, gastric mucosal erosion and aspiration pneumonia were respectively 12, 7, 13 cases in the PEG group, and were lower than those of the nasal feeding group , and the differences were statistically significant （χ2 =4.1779,4.9428, 12.8321, respectively;P〈0.05）.Conclusions The value of PEG is higher than that of the nasal feeding in the nursing of the patients with severe traumatic brain injury . Key words: Traumatic brain injury; Nutritional therapy; Percutaneous endoscopic gastrostomy; Nasal feeding