麻醉性鼻罩对接受深度镇静胃镜检查的老年患者的低氧血症的影响:随机对照试验
Huan Liu1, Huisheng Wu1, Lili Tang1
1Department of Anesthesiology, The First Affiliated Hospital of Anhui Medical University, 218 Jixi Road, Hefei, Anhui Province, 230022, China.
与传统的鼻相比,麻醉性鼻罩在老年患者的胃镜检查期间显著降低了氧气不足. 这种干预改善了氧和,减少了呼吸道干预,提高了镇静期间的患者安全.
科学领域:
- 麻醉学 麻醉学
- 老年医学 老年医学
- 胃肠病学 胃肠病学
背景情况:
- 接受胃镜镇静治疗的老年患者由于与年龄相关的生理变化而面临高氧血的风险.
- 氧气储备的减少和对镇静剂的敏感性增加有助于这种风险.
研究的目的:
- 为了比较麻醉性鼻子口罩与传统鼻在预防老年患者胃镜检查期间缺氧的疗效.
- 评估这些设备对氧和和气道管理的影响.
主要方法:
- 这是一项随机对照试验,涉及300名老年患者,他们接受了用propofol进行胃镜的深度镇静治疗.
- 参与者被分配到传统的鼻腔管组或麻醉性鼻罩组 (150个).
- 主要结局是低氧化血的发生率 (SpO2 ≤92%).
主要成果:
- 麻醉性鼻罩组与传统鼻组相比 (45.0%;p < 0.001) 显示出显著较低的氧气低血症发病率 (15.5%).
- 麻醉性鼻罩导致了较高的手术内最小SPO2 (99.0%与94.0%相比;p < 0.001) 并减少了需要推力机动的需要 (13.5%与37.6%相比;p < 0.001).
- 两组之间严重低氧血症发生率没有显著差异.
结论:
- 麻醉性鼻子口罩有效地显著降低了在接受深度镇静治疗的老年患者中缺氧的发生率.
- 使用麻醉性鼻子口罩可以在手术过程中改善手术期间的氧化和呼吸道管理.
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