在胃肠内镜检查中,经过supraglottic喷气氧化和通风的pharyngalgia和 xerostomia的危险因素:一项回顾性研究
Ping Xie1, Zhiyun Wu1, Benjun Zha2
1Department of Anesthesiology, 910th Hospital of PLA, Quanzhou, 362000, China.
在内镜检查期间,Supraglottic喷气氧化/通风 (SJOV) 可能会导致喉疼痛和口腔干燥. 较长的手术时间增加了这些风险,这表明SJOV的持续时间应该为患者的舒适性而受到限制.
科学领域:
- 胃肠病学 胃肠病学
- 麻醉学 麻醉学
- 呼吸系统医学 呼吸系统医学
背景情况:
- 在镇静性胃肠内镜期间,用于预防低氧化症,使用Supraglottic喷气氧化/通风 (SJOV).
- 然而,SJOV可能会导致诸如喉痛 (pharyngalgia) 和口腔干燥 (xerostomia) 等副作用.
研究的目的:
- 为了确定与SJOV进行胃肠内镜检查的患者中,与喉和静脉关联的危险因素.
- 评估程序特征与这些副作用的发生率之间的关系.
主要方法:
- 对5313名在胃肠内镜检查或片切除过程中接受了普罗波镇静剂和SJOV的患者进行了回顾性分析.
- 收集的数据包括患者人口统计,手术细节和术后不良事件.
- 用单变量和多变量逻辑回归分析来确定风险因素.
主要成果:
- 在手术后的30分钟内,18.7%的患者出现了法林加尔基亚/克塞罗斯托米亚.
- 手术时间 (OR,8.09) 和最近的喉痛/腹腔切口症被确定为独立的危险因素.
- 没有发现显著的低氧化血症风险因素 (1.7%的发病率),并且没有发生像巴罗创伤这样的严重不良事件.
结论:
- 在内镜检查期间SJOV后,手术持续时间是发病喉痛和异口症的重要危险因素.
- 限制SJOV的持续时间可能有助于减轻这些敏感患者常见的副作用.
- 在本研究人群中,没有发现低氧血症的预测因子.
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