氧化状态与左侧与卧卧的位置在接受食道胃管腺镜术 (EGD) 的空腹患者:安全还是不安全?
Patrick Chan1, Jennifer Zhou2, Daniel Harrison3
1University of California Riverside School of Medicine, Riverside, CA, USA. chanpatrickmd@gmail.com.
Surgical endoscopy
|February 19, 2026
概括
对于接受食道胃管透镜 (EGD) 的致病性肥胖患者来说,卧卧的位置与左侧侧的位置一样安全,对于非计划的输内管道. 可以考虑仰卧位置,以平衡较短的手术时间与增加的氧气需求.
科学领域:
- 胃肠病学 胃肠病学
- 麻醉学 麻醉学
- 减肥医学 减肥医学
背景情况:
- 肥胖患者在食道胃管腺镜术 (EGD) 期间面临更高的氧化损伤风险.
- 患者的定位在EGD期间显著影响安全性和氧化,但对腹部患者的左侧和仰卧位置进行比较的数据很少.
研究的目的:
- 为了比较病态肥胖患者在EGD期间躺卧与左侧腰位置的安全性和氧化效应.
- 根据患者的位置来评估计划外输管率和其他关键结果.
主要方法:
- 对495名接受EGD治疗的成年患者 (BMI≥35) 进行了回顾性队列研究.
- 患者被分为左侧 (第一组) 或仰卧/半福勒 (第二组) 位置.
- 主要结局:无计划的输管;次要结局:手术时间,最大的FiO2和手术后的氧和度.
主要成果:
- 卧卧和左侧组之间无计划输管率没有显著差异 (两组均为0.4%).
- 仰卧的位置与显著缩短的手术时间 (14.35分钟 vs 16.40分钟) 相关.
- 仰卧位置需要更高的最大FiO2 (84.98%与78.08%相比),与类似的手术后氧气和.
结论:
- 在患有病态肥胖症的患者中,在EGD过程中仰卧定位与左侧定位相比,不会增加意外输管的风险.
- 虽然仰卧的位置需要更高的氧气支持,但它提供更短的手术时间.
- 在接受EGD的某些致病性肥胖患者中,仰卧位置可能是可行的选择,只要能够满足氧化需求.
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