武警医学2023，Vol.34Issue(12)：1021-1024,4.
新型异形鼻咽通气管在阻塞性睡眠呼吸暂停低通气综合征患者行无痛胃肠镜检查中的应用
Application of a new special-shaped nasopharyngeal catheter in painless gastroscopy in patients with OSAHS
摘要
Abstract
Objective To investigate the safety and efficacy of a new type of special-shaped nasopharyngeal catheter in pa-tients with obstructive sleep apnea hypopnea syndrome(OSAHS)undergoing painless gastroscopy.Methods A total of 90 OSAHS pa-tients who underwent painless gastroscopy examination in the outpatient department of Characteristics Medical Center of PLA Air Force from October 2022 to March 2023 were randomly divided into a control group(Group C),nasopharyngeal airway group 1(Group NPA1),and nasopharyngeal airway group 2(Group NPA2).Oxygen masks were used in Group C for oxygen inhalation,while NPA1 and NPA2 were given by nasopharyngeal catheter,and PetCO2 was monitored in group NPA2.The general condition,airway assess-ment indicators(Malampati classification),incidence of hypoxemia in painless gastroenteroscopy,incidence of respiratory depression,auxiliary ventilation rate,minimum oxygen saturation,and the interval time from hypoxemia alarm value to hypoxemia occurrence were observed and compared among the groups.Results The incidence of respiratory depression in Group NPA1(40.0%)was lower than that in Group C(70.0%).The incidence of hypoxemia in Group NPA1(23.3%)was lower than that in Group C(50.0%),and auxiliary ventilation rate in Group NPA1(33.3%)was lower than that in Group NPA2(46.7%)and lower than that in Group C(66.7%).The lowest blood oxygen saturation in Group NPA1[(92 93±3.60)%]was higher than that of Group C[(90.20±4.34)%],and lower than that of Group NPA2[(94.67±2.63)%].The time interval between alarm value of hypoxemia and occur-rence of hypoxemia in Group NPA2[(63.25±10.28)s]was longer than that in Group NPA1[(22.14±4.10)s],and the difference was statistically significant(P<0 05).In Group C,2 subjects were transferred to Group NPA1 due to persistent hypoxemia,and SpO2 gradually recovered to normal level after the placement of nasopharyn-geal catheter.Conclusions The new special-shaped nasopharynx catheter can effectively reduce the incidence of respiratory depression and hypoxemia,and improve the safety of painless gastroscopy for OSAHS patients.Combined PetCO2 monitoring can guide anesthesiologists to conduct auxiliary ventilation treatment,further reduce the incidence of respiratory depression,and improve the safety of surgery.关键词
阻塞性睡眠呼吸暂停低通气综合征/鼻咽通气管/低氧血症/呼气末二氧化碳分压/无痛胃肠镜Key words
obstructive sleep apnea-hypopnea syndrome/nasopharyngeal catheter/hypoxemia/end-tidal carbon dioxide par-tial pressure/painless gastroscopy分类
医药卫生引用本文复制引用
吴桐,陶天柱,杨晓明,董佳欣,陈宇祺,李白容,叶博..新型异形鼻咽通气管在阻塞性睡眠呼吸暂停低通气综合征患者行无痛胃肠镜检查中的应用[J].武警医学,2023,34(12):1021-1024,4.基金项目
北京市海淀区培育项目(HP2022-26-808003),科研助推项目(2022ZTYB38) （HP2022-26-808003）
