在过程镇静下消化肠道内镜检查期间,比较氧气疗法以预防低氧症:系统性审查和网络元分析
Shuailei Wang1, Jiaming Ji2, Chang Xiong2
1Department of Anesthesiology, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China; Department of Anesthesiology, Peking Union Medical College Hospital, Beijing, China.
Journal of clinical anesthesia
|August 18, 2024
概括
非侵入性正压通风 (NIPPV) 和微鼻喷气管 (WNJT) 是最有效的预防低氧化在内镜手术期间. 这些先进的氧气疗法在缓解低氧水平方面显著优于标准鼻.
科学领域:
- 医学研究 医学研究
- 呼吸系统疗法 呼吸系统疗法
- 胃肠病学 胃肠病学
背景情况:
- 低氧症是静止下胃肠内镜期间常见的不良事件.
- 这种手术的最佳氧气疗法仍未确定.
研究的目的:
- 系统地审查和比较不同氧气疗法的有效性,以防止胃肠内镜期间缺氧.
主要方法:
- 27个随机临床试验 (7552名患者) 的系统审查和网络元分析.
- 针对鼻腔管 (NC) 的各种氧气疗法的比较.
- 主要结局:低氧化血的发生率 (SpO2).
主要成果:
- 非侵入性正压通风 (NIPPV) 和韦鼻喷气管 (WNJT) 在预防低氧症方面优于NC.
- 效率排名:NIPPV > WNJT > 耳鼻喉/鼻导管 > 高流量鼻氧化 > 鼻罩 > NC.
结论:
- 先进的氧气疗法,特别是NIPPV和WNJT,在内镜检查期间预防低氧症方面比鼻腔更有效.
- 氧气治疗的临床选择应考虑患者的风险,手术类型和不良事件.
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