胃固体内容的超声波评估在接受上部内镜和镇静治疗的患者中
Jing Wang1, Xuan Yu1, Ying Wang2
1Department of Anesthesiology, the Second Affiliated Hospital of Zunyi Medical University, Intersection of Xinglong Avenue and Xinpu Avenue, Zunyi, 563000, Zunyi, China.
BMC anesthesiology
|September 6, 2024
概括
超声波在手术前有效检测胃固体内容,提高了患者的安全性. 这种非侵入性方法有助于早期发现麻醉风险和干预决策.
科学领域:
- 医学成像医学成像
- 胃肠病学 胃肠病学
- 麻醉学 麻醉学
背景情况:
- 外科手术期间胃中固体物质的反流吸收在麻醉期间构成重大风险.
- 目前评估胃固体含量的方法有限,这阻碍了及时的干预.
- 早期检测胃部的内容对于预防致命的呼吸道并发症至关重要.
研究的目的:
- 评估超声波在检测胃固体内容物的有效性.
- 提供一种快速,非侵入性的工具,用于评估胃内容的状态.
- 为了告知临床决策,患者接受的程序与镇静.
主要方法:
- 包括400名接受上部内镜与镇静治疗的患者.
- 胃腹腔的超声波扫描是在半坐着的位置或右侧位进行的.
- 胃固体含量通过超声波进行了定性评估,在内镜吸后进行了定量评估.
主要成果:
- 超声波在检测固体胃内含物方面表现出很高的准确性.
- 灵敏度为85.7%,特异性为99%,正预测值为60%,负预测值为99.7%.
- 通过超声波确定了七名患有胃固体内容的患者.
结论:
- 超声波是一种相当准确的方法,用于对固体胃部内容的定性评估.
- 建议在上部内镜检查前通过超声波检测出胃固体内容的患者进行轻度镇静.
- 超声波为术后风险评估提供了一种有价值的非侵入性方法.
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