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首页> 美国卫生研究院文献>International Journal of Medical Sciences >Clinical application of a novel endoscopic mask: A randomized controlled trial in aged patients undergoing painless gastroscopy
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Clinical application of a novel endoscopic mask: A randomized controlled trial in aged patients undergoing painless gastroscopy

机译：新型内窥镜面罩的临床应用：老年无痛胃镜患者的随机对照试验

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>Background: Desaturation during painless gastroscopy in aged patients leads to discontinuation of the procedure, prolonged manipulation time and increased risk of severe complications. An endoscopic nasal mask was designed to control hypoxia during the above procedures. A randomized trial was performed to test whether the novel endoscopic mask is helpful for hypoxia during painless gastroscopy in aged patients.>Methods: In this randomized, controlled trial, 141 aged patients undergoing painless gastroscopy were randomized into nasal catheter group (69 patients) and endoscopic mask group (65 patients). Primary outcomes were minimum pulse oxygen saturation and incidence of pulse oxygen saturation ≤ 90%.>Results: Finally>, 134 aged patients were analyzed, including 69 patients in nasal catheter group and 65 patients endoscopic mask group. The minimum pulse oxygen saturation (96.4% ± 4.8%) was higher in the aged endoscopic mask group than in the aged nasal catheter group (94.3% ± 5.6%, P = 0.0075). The incidence of pulse oxygen saturation ≤ 90% did not significantly differ between the endoscopic mask group and nasal catheter group (6.2% VS 15.9%, P = 0.07). There were no severe adverse events in either groups.>Conclusion: The endoscopic mask was safely used in aged patients during painless gastroscopy under propofol sedation and significantly improved the minimum pulse oxygen saturation without increasing time to examination or recovery time.
机译：>背景：老年患者在无痛胃镜检查过程中的去饱和会导致手术中断，延长操作时间并增加发生严重并发症的风险。在上述过程中，设计了内窥镜鼻罩以控制缺氧。 >方法：在这项随机对照试验中，将141例接受无痛胃镜检查的老年患者随机分配到鼻导管中组（69例）和内窥镜面罩组（65例）。主要结果为最低脉搏氧饱和度和脉搏血氧饱和度≤90％。>结果：最后>，名134例老年患者被分析，其中包括鼻导管组69例和65例患者内窥镜面罩组。老年内窥镜面罩组的最低脉冲氧饱和度（96.4％±4.8％）比老年鼻腔导管组更高（94.3％±5.6％，P = 0.0075）。内镜面罩组和鼻导管组之间的脉冲血氧饱和度≤90％的发生率无显着差异（6.2％VS 15.9％，P = 0.07）。两组均无严重不良事件。>结论：在丙泊酚镇静下无痛胃镜检查期间，内镜面罩可安全用于老年患者，并显着改善了最低脉搏血氧饱和度，而无需增加检查时间或恢复时间。

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