[1]周 颖,凤 婧,黄 静,等.声门上通气在气道高风险患者无痛胃镜检查中的应用[J].医学信息,2021,34(24):80-82.[doi:10.3969/j.issn.1006-1959.2021.24.017]
　ZHOU Ying,FENG Jing,HUANG Jing,et al.Application of Supraglottic Ventilation in Painless Gastroscopy for Patients with High Airway Risk[J].Medical Information,2021,34(24):80-82.[doi:10.3969/j.issn.1006-1959.2021.24.017]
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声门上通气在气道高风险患者无痛胃镜检查中的应用()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年24期
页码:
80-82
栏目:
论著
出版日期:
2021-12-15

文章信息/Info

Title:
Application of Supraglottic Ventilation in Painless Gastroscopy for Patients with High Airway Risk
文章编号:
1006-1959（2021）24-0080-03
作者:
周 颖; 凤 婧; 黄 静; 等
（兵器工业五二一医院疼痛科1，消化内科2，陕西 西安 710065）
Author(s):
ZHOU Ying; FENG Jing; HUANG Jing; et al.
(Department of Pain Management1,Department of Gastroenterology2,521 Hospital of Norinco Group,Xi’an 710065,Shaanxi,China)
关键词:
无痛胃镜; 血氧饱和度; 二氧化碳分压
Keywords:
Painless gastroscope; Oxygen saturation; Partial carbon dioxide pressure
分类号:
R459.9；R614.2
DOI:
10.3969/j.issn.1006-1959.2021.24.017
文献标志码:
A
摘要:
目的 探讨声门上通气在气道高风险患者无痛胃镜检查中应用的可行性和安全性。方法 选取2020年10月-2021年3月我院60例气道高风险胃镜检查患者，随机分为观察组和对照组，每组30例。两组先静脉注射0.1 μg/kg舒芬太尼，接着注射依托咪酯丙泊酚混合液0.15~0.2 ml/kg，待睫毛反射消失后，观察组置入声门上通气导管，并在胃镜监视下导管头端置于声门上1~2 cm处，然后开始行胃镜检查。对照组为鼻导管通气。观察两组麻醉前（T0）、插入胃镜前（T1）、插入胃镜后3 min（T2）及检查结束时（T3）的平均动脉压（MAP）、心率（HR）和血氧饱和度（SpO2），于T2时采集桡动脉血测二氧化碳分压（PaCO2），记录术中托下颌、面罩给氧、置入喉罩等紧急处理情况。结果 T1、T2时对照组SpO2低于T0时，且低于观察组，差异有统计学意义（P＜0.05）。T1、T2时两组MAP均下降，低于T0时（P＜0.05），但组间差异无统计学意义（P＞0.05）；观察组T2时PaCO2低于对照组（P＜0.05）；观察组需要紧急处理的比例低于对照组（P＜0.05）。结论 声门上通气行无痛胃镜检查，可有效改善患者缺氧，并可避免二氧化碳潴留，使胃镜检查更安全。
Abstract:
Objective To investigate the feasibility and safety of supraglottic ventilation in painless gastroscopy in patients with high risk of airway.Methods A total of 60 patients with airway high-risk gastroscopy in our hospital from October 2020 to March 2021 were randomly divided into observation group and control group, with 30 cases in each group. In the two groups, 0.1 μg/kg sufentanil was first injected intravenously, and then 0.15-0.2 ml/kg etomidate-propofol mixture was injected. After the eyelash reflex disappeared, the observation group was placed in the supraglottic ventilation catheter, and the catheter head was placed at 1-2 cm above the glottis under gastroscopy, and then gastroscopy was performed. The control group was nasal catheter ventilation. The mean arterial pressure (MAP), heart rate (HR) and blood oxygen saturation (SpO2) were observed before anesthesia (T0), before insertion of gastroscope (T1), 3 min after insertion of gastroscope (T2) and at the end of examination (T3) in the two groups. At T2, the radial artery blood was collected to measure the partial pressure of carbon dioxide (PaCO2), and the emergency treatment situations such as jaw support, mask oxygen supply and laryngeal mask insertion were recorded.Results SpO2 at T1 and T2 in the control group was lower than that at T0, and lower than that in the observation group, the difference was statistically significant (P<0.05). MAP decreased at T1 and T2 in both groups, which was lower than that at T0 (P<0.05), but there was no significant difference between the two groups (P>0.05). PaCO2 at T2 in the observation group was lower than that in the control group (P<0.05). The proportion of emergency treatment in the observation group was lower than that in the control group (P<0.05).Conclusion Painless gastroscopy with supraglottic ventilation can effectively improve the patient’s hypoxia and avoid carbon dioxide storage, making gastroscopy safer.

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更新日期/Last Update: 1900-01-01