肌萎缩侧索硬化患者呼吸支持和营养管理 - 中国实用医学杂志社.pdf

2009 2 29 2 111 (2): 121- 124. Summary: Respiratory failure and respiratory complica2 [ 6] Gordon PH, Doorish C, Montes J, et al. Random ized controlled tion aremost reasons that result in death ofALS patients. Re2 phaseÒ trialof glatiramer acetate in ALS[ J]. Neurology, 2006, spiratory support, especially non2 invasiveBi2level positive air2 66: 1117- 1119. way pressure, may mi prove living quality and prolong survival [ 7] FornaiF, LongoneP, Cafaro L, et a.lLithium delays progression of tmi e. Treatment of respiratory support was gradually accepted ALS[ J]. ProcNatlAcad SciUSA, 2008, 105: 2052- 2057. and focused in theworldw ide. In addition, malnutrition is an in2 2008- 11- 12 : dependent poor prognostic factor for ALS. Percutaneous endo2 : 1005- 2194( 2009) 02- 0111- 03 scopic gastrostomy can ensure enough energy intake, mi prove nutritional status and prolong survival tmi e. The profit and ind2i cation ofBiPAP and PEG were summarized. Keyw ords: amyotrophic lateral sclerosis; B2i level positive airway pressure; PEG ( amyotrophic lateral sclerosis, ALS) 王力平, 张 俊 ALS : R5 : A 3~ 5, ALS, 张俊, 医学博士, 主任医师,副教授, , 20 ALS 硕士生导师北京大学医院管理处处 长北京大学第三医院神经科副