Clinical Value of Pulse Oximetry during Routine Diagnostic and Therapeutic Endoscopic Procedures
Clinical Value of Pulse Oximetry during Routine Diagnostic and Therapeutic Endoscopic Procedures
复制标题
脉搏血氧仪在常规诊断和治疗性内窥镜手术中的临床价值
DOI：
10.1055/s-2007-1010708
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发表时间：
1991
期刊：
影响因子：
9.3
通讯作者：
E. Burkhalter
中科院分区：
文献类型：
--
作者：
Berg Jc;R. Miller;E. Burkhalter
对271例患者在常规诊断和治疗食道胃十二指肠镜检查和结肠镜检查中经皮血氧饱和度监测的临床应用进行了评估。患者年龄14~86岁，平均56岁。术前血氧饱和度平均94%(81~100%)。静脉注射度冷丁、安定和咪达唑仑的平均剂量分别为50 mg、6.4 mg和3.3 mg。与术前测量相比，所有手术的血氧饱和度最大平均下降3.2%(p=0.0001)，并在静脉给药和内窥镜插管后立即发生。结肠镜检查和食道胃十二指肠镜检患者的血氧饱和度下降相似。患者的年龄和性别、手术类型和进行手术的医生不影响减饱和程度。观察到的最大平均血氧饱和度下降幅度小于睡眠期间的正常水平。经皮血氧饱和度监测在常规诊断和治疗食管胃十二指肠镜和结肠镜检查中的临床价值不被本研究结果所支持。
The clinical utility of transcutaneous oxygen saturation monitoring during routine diagnostic and therapeutic esophagogastroduodenoscopy and colonoscopy was assessed in 271 consecutive patients. The mean patient age was 56 years (range 14-86 years). The mean preprocedure oxygen saturation was 94% (range 81-100%). The mean dosages of intravenous meperidine, diazepam and midazolam if administered were 50 mg, 6.4 mg and 3.3 mg, respectively. The largest mean decrease in oxygen saturation of all procedures compared to the preprocedure measurement was 3.2% (p = .0001) and occurred immediately after administration of intravenous medication and endoscope intubation. Colonoscopy and esophagogastroduodenoscopy patients experienced similar decreases in oxygen saturation. The patient's age and sex, type of procedure and physician performing the procedure did not affect the degree of desaturation. The largest mean decrease in oxygen saturation observed was less than that considered normal during sleep. The clinical value of transcutaneous oxygen saturation monitoring in routine diagnostic and therapeutic esophagogastroduodenoscopy and colonoscopy is not supported by the findings of this study.