首页出版说明中文期刊中文图书环宇英文官网付款页面

无痛胃肠镜相关并发症研究进展

徐 照清, 杨 毅
大理大学临床医学院 云南大理 671000

摘要


目的:随着社会的发展和医学的进步,无痛胃肠镜技术日趋成熟,无痛胃肠镜在给人们带来舒适的体验感的同时,也并存在着相关风险。无痛胃肠镜中实施的程序性镇静的目的是安全有效地控制疼痛和焦虑。胃肠镜检查中与镇静有关的并发症一旦发生,可导致患者发病与死亡率的增高。此文章旨在对目前无痛胃肠镜常见相关并发症进行归纳整理,并报道如下。

关键词


无痛胃肠镜;相关并发症;危险因素

全文:

PDF


参考


[1]王延强.对比分析无痛胃肠镜和常规胃肠镜的临床疗效及安全性 [J]. 世界最新医学信息文摘(连续型电子期刊), 2019, 19(62): 104, 106.[2]Algera MH, Kamp J, van der Schrier R, van Velzen M, Niesters M, Aarts L, Dahan A, Olofsen E. Opioid-induced respiratory depression in humans:a review of pharmacokinetic-pharmacodynamic modelling of reversal[J]. Br J Anaesth. 2019 Jun;122(6):e168-e179.[3]Ferreira CB, Cravo SL, Stocker SD. Airway obstruction produces widespread sympathoexcitation: role of hypoxia, carotid chemoreceptors, and NTS neurotrans-mission[J]. Physiol Rep 2018; 6(3): 1141-5.[4]Razjouyan H,Brant SR,Kahaleh M. Anesthesia assistance in outpatient colonoscopy[J]. Gastroenterology,2018,154(8):2278-2279.[5]Bin ST,Wang J,Li M,et al. Case analysis of bronchoscopy in drowning,smoking,and sand aspiration [J]. World Latest Med Inf,2019,19(92):309-310.[6]Hallqvist L, Granath F, Fored M, Bell M. Intraoperative hypotension and myocardial infarction development among high-risk patients undergoing noncardiac surgery:a nested case-control study[J]. Anesth Analg 2021; 133: 6e15.[7]Ahuja S, Mascha EJ, Yang D, et al. Associations of intra-operative radial arterial systolic, diastolic, mean, and pulse pressures with myocardial and acute kidney injury after noncardiac surgery. Anesthesiology 2020; 132:291e306.[8]Wesselink EM, Kappen TH, Torn HM, Slooter AJC, van Klei WA. Intraoperative hypotension and the risk of postoperative adverse outcomes: a systematic review. Br J Anaesth 2018; 121: 706e21[9]Saugel B, Bebert EJ, Briesenick L, Hoppe P, Greiwe G, Yang D, Ma C, Mascha EJ, Sessler DI, Rogge DE. Mechanisms contributing to hypotension after anesthetic induction with sufentanil, propofol, and rocuronium: a prospective observational study[J]. J Clin Monit Comput. 2022 Apr;36(2):341-347.[10]Shin R, Lee S, Han KS, Sohn DK, Moon SH, Choi DH, Kye BH, Son HJ, Lee SI, Si S, Kang WK. Guidelines for accreditation of endoscopy units: quality measures from the Korean Society of Coloproctology[J]. Ann Surg Treat Res. 2021 Mar;100(3):154-165.[11]Kim JH, Almuwaqqat Z, Hammadah M, Liu C, Ko YA, Lima B, Sullivan S, Alkhoder A, Abdulbaki R, Ward L, Bremner JD, Sheps DS, Raggi P, Sun YV, Shah AJ, Vaccarino V, Quyyumi AA. Peripheral Vasoconstriction During Mental Stress and Adverse Cardiovascular Outcomes in Patients With Coronary Artery Disease[J]. Circ Res. 2019 Oct 25;125(10):874-883.[12]余挺,吴豪,李麟等.小剂量地塞米松预防女性患者无痛胃镜检 查 后 恶 心 呕 吐 的 临 床 观 察 [J]. 中 国 医 院 药 学 杂志,2020,40(21):2251-2254.[13]Tan Y, Ouyang W, Tang Y, Fang N, Fang C, Quan C. Effect of remimazolam tosilate on early cognitive function in elderly patients undergoing upper gastrointestinal endoscopy[J]. J Gastroenterol Hepatol. 2022 Mar;37(3):576-583.[14]谭成维,朱昭琼,董良等.术前口服多维碳水化合物在老年无痛结肠镜检查中的应用效果[J].天津医药,2021,49(03):315-319.[15]刘昕,葛亚丽,高巨.门诊无痛结肠镜患者术后疲劳综合征的危险因素[J].中华麻醉学杂志,2019,39(07):785-788.[16]Park HJ, Kim BW, Lee JK, Park Y, Park JM, Bae JY, Seo SY, Lee JM, Lee JH, Chon HK, Chung JW, Choi HH, Kim MH, Park DA, Jung JH, Cho JY; Endoscopic Sedation Committee of Korean Society of Gastrointestinal Endoscopy. 2021 Korean Society of Gastrointestinal Endoscopy Clinical Practice Guidelines for Endoscopic Sedation[J]. Gut Liver. 2022 May 15;16(3):341-356.[17]Calderwood AH, Tosteson TD, Wang Q, Onega T, Walter LC. Association of Life Expectancy With Surveillance Colonoscopy Findings and Follow-up Recommendations in Older Adults[J]. JAMA Intern Med. 2023 May 1;183(5):426-434.[18]Akhtar M, Donnachie DJ, Siddiqui Z, Ali N, Uppara M. Hierarchical regression of ASA prediction model in predicting mortality prior to performing emergency laparotomy a systematic review[J]. Ann Med Surg (Lond). 2020 Dec 8;60:743-749.[19]ASGE Standards of Practice Committee; Early DS, Lightdale JR, Vargo JJ 2nd, Acosta RD, Chandrasekhara V, Chathadi KV, Evans JA, Fisher DA, Fonkalsrud L, Hwang JH, Khashab MA, Muthusamy VR, Pasha SF, Saltzman JR, Shergill AK, Cash BD, DeWitt JM. Guidelines for sedation and anesthesia in GI endoscopy[J]. Gastrointest Endosc. 2018 Feb;87(2):327-337.[20]Pozin IE, Zabida A, Nadler M, Zahavi G, Orkin D, Berkenstadt H. Respiratory complications during recovery from gastrointestinal endoscopies performed by gastroenterologists under moderate sedation[J]. Clin Endosc. 2023 Mar;56(2):188-193.[21]LAFFIN A E, KENDALE S M, HUNCKE T K. Severity and duration of hypoxemia during outpatient endoscopy in obese patients: a retrospective cohort study[J]. Can J Anaesth, 2020, 67(9): 1182-1189.[22]Fang Z, Zou D, Xiong W, Bao H, Zhao X, Chen C, Si Y, Zou J. Dynamic prediction of hypoxemia risk at different time points based on preoperative and intraoperative features: machine learning applications in outpatients undergoing esophagogastroduodenoscopy[J]. Ann Med. 2023 Dec;55(1):1156-1167.[23]Obata Y, Yamada T, Akiyama K, Sawa T. Time-trend analysis of the center frequency of the intrinsic mode function from the Hilbert-Huang transform of electroencephalography during general anesthesia: a retrospective observational study[J]. BMC Anesthesiol. 2023 Apr 15;23(1):125.[24]Arun N, Hussain M, Kumari P, Kumar A. Evaluation of Propofol-Sparing Effect of Intravenous Lignocaine in Patients Undergoing Daycare Upper Gastrointestinal Endoscopic Procedures[J]. Cureus. 2022 Dec 1;14(12):e32090.[25]Song HJ, Kim J. Validity Analysis of Neck Circumference as a Screening Test for Hypoxia Occurrence in Patients Undergoing Sedative Endoscopy[J]. Healthcare (Basel). 2022 Apr 3;10(4):679.[26]Ozturk, N.A.A.; Dilektasli, A.G.; Cetinoglu, E.D.; Ursavas, A.; Karadag, M. Diagnostic Accuracy of a Modified STOP-BANGQuestionnaire with National Anthropometric Obesity Indexes[J]. T urk. Thorac. J. 2019, 20, 103.[27]Zhang K, Bao Y, Han X, Zhai W, Yang Y, Luo M, Gao F. Effects of opioid-free propofol or remimazolam balanced anesthesia on hypoxemia incidence in patients with obesity during gastrointestinal endoscopy: A prospective, randomized clinical trial[J]. Front Med (Lausanne). 2023 Mar 22;10:1124743.[28]Do, S.Y .; Kim, S.; Kim, K.T.; Cho, Y .W. Clinical Risk Factors for Sleep Apnea in a Korean Sleep Clinic. J. Korean Neurol[J]. Assoc. 2019,37, 352–360.




DOI: http://dx.doi.org/10.12361/2661-3603-05-11-132042

Refbacks

  • 当前没有refback。