无痛消化内镜诊疗期间低氧血症的防治进展

Progress in prevention and treatment of hypoxemia during painless gastrointestinal endoscopy

消化内镜麻醉管理的目标是有效镇静、镇痛的同时最大程度减少相关不良反应,确保患者的安全。低氧血症是无痛消化内镜诊疗期间最常见的不良事件,并且严重的低氧血症会造成心、脑意外事件,因此如何预防和减少低氧血症的发生是临床研究的热点。该文就预防和减少一般无痛消化内镜诊疗中低氧血症进行综述,为一般无痛消化内镜麻醉选择合适镇静和通气策略提供参考。

The goal of gastrointestinal endoscopy anesthesia management is to effectively calm and relieve pain while minimizing related adverse reactions and ensuring patient safety.Hypoxemia is the most common adverse event during painless gastrointestinalendoscopy,and severe hypoxemia can cause cardiac and brain accidents.Therefore,how to prevent and reduce the occurrence of hypoxemia isa hot topic in clinical research.This article reviews the methods of preventing and reducing hypoxemia in general painless gastrointestinal endoscopy,and provides a reference for the selection of appropriate sedation and ventilation strategies for general painless gastrointestinal endoscopy anesthesia.