气管插管麻醉在双气囊电子小肠镜检查中的应用

Anesthetic management in double-balloon video enteroscopy

目的:评价气管插管麻醉在双气囊电子小肠镜检查中的临床应用价值.方法:对99例疑有小肠疾病需要经口检查的患者,行气管插管全麻:静脉复合应用异丙酚、芬太尼、阿曲库胺.记录检查前、中、后血压、心率、血氧饱和度的数值,以及患者的不良反应.结果:全组血压、心率、血氧饱和度在检查前、中、后均无明显变化,均能安全的完成检查.99例接受检查的患者中,1例因回盲部变形、狭窄,小肠镜未能通过狭窄部,4例因回肠末段狭窄中止进镜,2例因十二指肠水平部狭窄停止进镜.其余患者经口检查均到达回肠上段或中段,平均检查时间75.5±25.5min.全组生命体征均处于安全范围,无并发症发生.结论:气管插管麻醉下行电子小肠镜检查是一种安全有效的方法.

AIM： To evaluate the clinical application of anesthesia for double-balloon video enteroscopy. METHODS： A total of 99 patients with suspected small bowel disease underwent per oral double-ballon video enterscopy. The patients were put under intravenous anesthesia plus a tracheal intubation. HR, SBP, DBP and SpO2 were monitored. RESULTS： There was no significant difference in SBP, DBP, HR and SpO2 before, during and after endoscopy. DBE procedures were performed on all patients （oral approach）. The mean duration of the procedure was 75.5 ± 25.5 rain. The operations were completed safely and no complications occurred. CONCLUSION： Double-balloon video enteroscopy under general anesthesia is a safe and effective procedure. To avoid any possible respiratory complication, it is advisable to add a tracheal intubation in the procedure.