对于老年患者的胃肠内镜进行深度镇静. 小组分析小组分析小组分析
Óscar Martínez-González1, M Ángeles Alonso-Fernández1, Mónica García-Alonso2
1Hospital Universitario del Tajo, Critical Care, Department, Universidad Alfonso X el Sabio, Spain.
概括
在65岁以上的患者中,胃肠内镜的深度镇静通常是安全的. 这项研究发现,65-74岁的患者和75岁以上的患者之间的并发症没有显著差异.
科学领域:
- 胃肠病学 胃肠病学
- 麻醉学 麻醉学
- 老年病的医生 老年病的医生
背景情况:
- 胃肠内镜镇静在老年人中很常见.
- 老龄化增加了与镇静和潜在并发症相关的风险.
- 在老年人群中,镇静的安全性需要仔细评估.
研究的目的:
- 为了比较两组老年成人之间的胃肠内镜中与镇静相关的并发症:65-74岁和≥75岁.
- 评估深度镇静在接受内镜手术的老年患者的安全性.
主要方法:
- 一项前性研究,包括65岁以上接受胃肠内镜深度镇静的患者.
- 多变量分析比较了用propofol静止的胃镜和用propofol/fentanyl静止的结肠镜组的并发症率.
- 收集了关于脱和需要干预的重大并发症的数据.
主要成果:
- 分析了1225种镇静剂;97.3%的手术成功完成.
- 脱发生在9.9%的患者中 (65-74岁患者中的9.2%,≥75岁患者中的10.9%,p=0.336),没有显著差异.
- 严重并发症发生在5.6% (65-74岁的6.0%与≥75岁的4.8%相比;p=0.385),没有显著差异.
- 年龄是醇镇静性胃镜期间并发症的一个因素.
结论:
- 在65岁以上的患者深度镇静下进行胃肠道内镜检查时,通常会出现轻微的并发症.
- 75岁及以上的患者深度镇静并没有与65-74岁患者相比显著增加并发症风险.
- 这些发现支持对老年人内镜进行深度镇静的安全性.
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