GLP-1激动剂和选择性上部内镜期间肺吸气的风险:系统性审查和元分析
Praveen Reddy Elmati1, Gowthami Sai Kogilathota Jagirdhar2, Rakhtan K Qasba3
1Department of Anesthesiology, Saint Clare's Hospital, Dover, NJ 07081, USA.
The open respiratory medicine journal
|October 2, 2025
概括
葡萄糖类-1 (GLP-1) 激动剂在内镜检查期间不会显著增加肺吸收风险. 一项系统性审查没有发现统计联系,尽管即使在长时间禁食后也发生了这种情况,这表明管理缺陷.
科学领域:
- 胃肠病学 胃肠病学
- 麻醉学 麻醉学
- 药理学 药理学是指药理学的学科.
背景情况:
- 葡萄糖类-1 (GLP-1) 激动剂减缓胃空气,可能在手术期间增加吸入风险.
- 肺吸气是一种严重的并发症,特别是在内镜期间麻醉下.
研究的目的:
- 系统地审查和分析使用GLP-1激动剂进行内镜检查的患者肺吸气风险的证据.
主要方法:
- 在2024年5月之前对PubMed,Embase和Cochrane数据库进行系统审查.
- 包括病例报告和关于GLP-1激动剂和志向的研究.
- 使用RevMan 5.4.1.1.进行回顾性研究的综合分析.
主要成果:
- 包括5份病例报告 (6名患者) 和12项研究 (210,216名患者).
- 肺吸收发生在GLP-1主动剂组的0.16%,与安慰剂组的0.12%相比.
- 分析显示,随着GLP-1激动剂的使用,愿望的几率比率 (1.23;P=0.59) 没有显著增加.
结论:
- 在内镜检查期间使用GLP-1激动剂和肺吸收之间没有发现统计学意义上的关联.
- 尽管长时间禁食,但出现了吸血病例,这表明了潜在的程序周管理缺口.
- 需要进一步的研究,为患者提供基于证据的禁食指导方针GLP-1激动剂.
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