在观察性胆管胰腺内镜超声波中,单独使用普罗波的镇静疗效
Hisaki Kato1, Yuki Kawasaki1, Kazuya Sumi1
1Department of Digestive Diseases Center Showa University Koto Toyosu Hospital Tokyo Japan.
DEN open
|October 18, 2024
概括
单独的普罗波在内镜超声波 (EUS) 期间对镇静有效,在不需要止痛药的情况下为患者提供舒适和安全. 这种方法对胆腺EUS手术有用.
科学领域:
- 胃肠病学 胃肠病学
- 麻醉学 麻醉学
背景情况:
- 在内镜超声波 (EUS) 过程中,镇静和镇痛对于患者的舒适和安全至关重要.
- 关于基于普罗波的镇静和EUS手术需要联合镇痛的必要性,研究有限.
研究的目的:
- 评估单独使用普罗波福的疗效和安全性,用于观察性胆囊胰腺EUS的镇静作用.
- 为了评估患者的治疗结果和与仅提供醇镇静相关的不良事件.
主要方法:
- 在2021年4月至2023年3月期间进行的516次观测性胆胰腺EUS手术的回顾性分析.
- 普罗波作为唯一的镇静剂被使用.
- 主要终点:EUS结果;次要终点:不良事件发生.
主要成果:
- 手术的中位时间为22分钟,中位剂量为186.5毫克.
- 副作用发生在11.6%的患者中.
- 实习生的表现和更长的检查时间是不良事件的危险因素,而高BMI和延长的持续时间增加了延迟恢复的风险.
结论:
- 普罗波单挑选是一种有益的镇静剂,可用于观察性胆胰腺EUS.
- 这种镇静策略确保了患者的满意度,并证明了相对的安全性.
- 进一步的研究可能会探索减轻不良事件和延迟恢复的危险因素.
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