在无镇静的经鼻内镜期间的左侧位位置:一个试点研究
Rose Lee1, Yonna Oparaugo1, Molly Mackensen1
1Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics Medical College of Wisconsin Milwaukee Wisconsin USA.
JPGN reports
|August 15, 2025
概括
在左侧部位置进行无镇静的过鼻内镜 (TNE) 是安全的,在儿童中耐受良好. 这项试点研究表明,LLD职位可能会改善经过TNE的儿科患者的治疗结果.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 内镜手术 进行内镜手术
- 患者安全 患者安全
背景情况:
- 无镇静的过鼻内镜 (TNE) 是一种常见的儿科程序,用于评估上部胃肠道.
- 目前儿童的TNE技术通常适应成人标准,通常使用直立的坐姿.
- 左侧部 (LLD) 位置被提出为TNE的潜在更安全和更有效的替代方案.
研究的目的:
- 探索在使用LLD位置的儿科患者中进行无镇静TNE的可行性和耐受性.
- 为了将LLD位置与儿科TNE的传统直立坐姿进行比较.
主要方法:
- 对13名在LLD位置进行无镇静性TNE的儿科患者的回顾性审查.
- 收集的数据包括手术时间,患者耐受性 (TNEase分数) 和不良事件.
- 还分析了患者的人口统计数据.
主要成果:
- 在LLD职位上,所有13个TNE程序都成功完成.
- 平均手术时间为5.1分钟.
- 所有患者都报告了良好的耐受性 (TNEase评分≤2),其中77%的得分为1.
- 两名在直立姿势下出现昏睡的患者可以容忍LLD TNE,没有任何不良事件.
结论:
- 左侧位是儿童无镇静性TNE的可行和耐受的方法.
- 需要进一步的前性研究来证实LLD位置比直立位置的好处,特别是在对静止不耐受症的儿童.
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