在有意识镇静下接受胃肠内镜检查的患者中,潜在的严重阻塞性睡眠呼吸暂停的临床预测因素
Kosuke Kashiwabara1, Fujiho Tanaka2, Takenori Yamanouchi3
1Department of Respiratory Medicine, Omotesando Yoshida Hospital, 2-5, Kitasendanbata-Machi, Chuo-Ku, Kumamoto, 860-0855, Japan. ksk2kswbr@kiseikai.or.jp.
Sleep & breathing = Schlaf & Atmung
|October 4, 2025
概括
在接受胃肠内镜检查的患者中,可以预测严重的阻塞性睡眠呼吸暂停 (OSA). 在手术过程中,上呼吸道阻塞和低氧和是潜在的严重OSA的关键指标.
科学领域:
- 睡眠医学 睡眠医学
- 胃肠病学 胃肠病学
- 肺部病理学 肺部病理学
背景情况:
- 43%的在有意识镇静下 (GE-CS) 接受胃肠内镜的患者有严重的阻塞性睡眠呼吸暂停 (OSA),但仍未被诊断出来.
- 缺乏显著的症状往往阻止这些患者寻求专家护理.
研究的目的:
- 评估患者的特征,GE-CS期间的上呼吸道阻塞 (UAO) 和生命体征是否可以预测严重的OSA.
- 确定可能受益于转诊到睡眠专家诊所的患者.
主要方法:
- 在GE-CS期间对112名疑似OSA患者进行了回顾性分析.
- 评估患者的人口统计,UAO的内镜检测结果和生命体征.
- 与睡眠呼吸暂停测试结果的相关性.
主要成果:
- 严重的OSA患病率随着UAO严重程度的增加 (45%在严重的UAO中).
- 在GE-CS期间,UAO严重程度与呼吸暂停-呼吸暂停指数正相关,与最低SpO2负相关.
- 严重的OSA的独立预测因素包括男性性别,严重的UAO,以及GE-CS期间最低SPO2<90%.
结论:
- 在GE-CS期间最低SPO2<90%是严重OSA的独立预测因素.
- 对UAO和低SpO2的内镜发现可以帮助在例行程序中识别患有严重OSA的患者.
更多相关视频
相关概念视频
Sleep Apnea
436
Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
The condition is more prevalent among...
436
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
496
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
496
Assessment of Airway, Skin Color, and Use of Accessory Muscles
1.6K
A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
Introduction
The initial evaluation of a patient's respiratory system...
1.6K
Endoscopic Procedures I: Esophagogastroduodenoscopy
789
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
789
Endotracheal Tube Extubation
3.4K
Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
3.4K
Stages of General Anesthesia
1.4K
Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
1.4K


