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| Application of endoscopic mask for painless gastroscopy examination in obese patients |
| GU Juanjuan, FU Qiang, MI Weidong, ZHANG Hong |
| Department of Anesthesiology, PLA General Hospital, Beijing 100853, China |
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Abstract Objective To investigate the efficacy and safety of endoscopic mask for painless gastroscopy examination in obese patients. Methods 100 patients with body mass index (BMI) ＞28 kg/m2 who received painless gastroscopy examination were randomized into two groups. Patients in group T inhaled oxygen with endoscopic mask(n=50), and patients in group C inhaled oxygen with nasal cannula(n=50).In the two groups, oxygen flow rates were set at 3-5 L/min.All patients were intravenously injected fentanyl 0.05 mg, midazolam 1 mg, and followed by propofol 1-2 mg/kg. Physicians began to examine when patients lost consciousness. During the procedure, propofol was given in time to keep a level of deep sedation if the patients had small body movement. SBP, DBP, HR, SpO2 of T1 (before anesthesia), T2 (two minutes after anesthesia), T3 (at the end of examination) were recorded. In addition, the examination time, total dose of propofol administration in the two groups were recorded. Results (1) Compared with T1, the SBP、DBP and HR in the two groups at T1, T2 decreased distinctly, the differences were statistically significant (P<0.05). (2) At T2, the SpO2 in group C decreased significantly, there were 6 patients(12％) with SPO2<90％, compared with T1, the difference was statistically significant(P<0.05); the SpO2 in group T increased, which was statistically significant. At T2, the SpO2 (99.26%±0.90%) in group T significantly higher than that in group C (92.68%±2.30%), the difference was statistically significant (P<0.05). At T3, there was also significant difference between the two groups [(99.58%±0.61%) vs (96.24%±0.98%)].(3) Compared with the examination time and total dose of propofol of the two groups, the differences were not statistically significant. Conclusions The application of oxygen inhalation with endoscopic mask appears to be more safer than that of oxygen inhalation with nasal cannula for painless gastroscopy examination in obese patients.
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Received: 10 August 2014
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| [1] |
劳建新, 张永福, 王 琼, 等.肥胖患者异丙酚静脉全麻无痛人流术中麻醉并发症的临床观察[J]. 实用医学杂志, 2010, 26(17):3123-3125.
|
| [2] |
张中军, 俞宪民, 朱 骊, 等. 内镜面罩给氧在麻醉胃镜检查中的应用[J]. 中华消化杂志, 2005, 25(12):737-739.
|
| [2] |
张中军, 俞宪民, 朱 骊, 等. 内镜面罩给氧在麻醉胃镜检查中的应用[J]. 中华消化杂志, 2005, 25(12):737-739.
|
| [3] |
Waring J P, Baron T H, Hirota W K, et al. Guidelines for conscious sedation and monitoring during gastrointestinal endoscopy [J]. Gastrointest Endosc, 2003, 58(3):317-322.
|
| [3] |
Waring J P, Baron T H, Hirota W K, et al. Guidelines for conscious sedation and monitoring during gastrointestinal endoscopy [J]. Gastrointest Endosc, 2003, 58(3):317-322.
|
| [4] |
Faigel D O, Baron T H, Goldstein J L, et al. Guidelines for the use of deep sedation and general anesthesia for GI endoscopy[J]. Gastrointest Endosc, 2002, 56(5):613-617.
|
| [4] |
Faigel D O, Baron T H, Goldstein J L, et al. Guidelines for the use of deep sedation and general anesthesia for GI endoscopy[J]. Gastrointest Endosc, 2002, 56(5):613-617.
|
| [5] |
柴 芳, 张炳熙. 肥胖病人与麻醉[J]. 医学研究杂志, 2006, 35(9):93-94.
|
| [5] |
柴 芳, 张炳熙. 肥胖病人与麻醉[J]. 医学研究杂志, 2006, 35(9):93-94.
|
| [6] |
金 江. 肥胖患者行异丙酚无痛胃镜检查的安全性分析[J]. 中国临床保健杂志, 2010, 13(3):317-318.
|
| [7] |
牛泽军, 王世端. 肥胖病人的麻醉管理[J]. 青岛大学医学院学报, 2008, 44(1):89-91.
|
| [8] |
庄心良, 曾因明, 陈伯銮. 现代麻醉学[M]. 3 版. 北京: 人民卫生出版社, 2003:484-485.
|
| [6] |
金 江. 肥胖患者行异丙酚无痛胃镜检查的安全性分析[J]. 中国临床保健杂志, 2010, 13(3):317-318.
|
| [9] |
叶 芬, 王红玲, 郑国荣, 等. 无痛胃肠镜与常规胃肠镜临床应用1800例[J]. 世界华人消化杂志, 2010, 18(12):1264-1269.
|
| [7] |
牛泽军, 王世端. 肥胖病人的麻醉管理[J]. 青岛大学医学院学报, 2008, 44(1):89-91.
|
| [8] |
庄心良, 曾因明, 陈伯銮. 现代麻醉学[M]. 3 版. 北京: 人民卫生出版社, 2003:484-485.
|
| [9] |
叶 芬, 王红玲, 郑国荣, 等. 无痛胃肠镜与常规胃肠镜临床应用1800例[J]. 世界华人消化杂志, 2010, 18(12):1264-1269.
|
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2015, Vol. 26 
