The Current Situation of Anaesthesia for Hysteroscopy in Mainland China: A National Survey.
The Current Situation of Anaesthesia for Hysteroscopy in Mainland China: A National Survey.
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DOI：
10.3390/jpm13101436
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发表时间：
2023-09-26
影响因子：
--
通讯作者：
Su, Diansan
中科院分区：
文献类型：
--
作者：
Huang, Lili;Yu, Qing;Zhu, Ziyu;Huang, Ping;Ding, Xibing;Ma, Xiaowen;Chen, Yuwen;Su, Diansan
目的：宫腔镜术是否需要麻醉或止痛仍有争议。本研究旨在对大陆地区中国宫腔镜术的麻醉情况进行综述。方法：对麻醉医生和妇科医生分别设计两份问卷，发放给各医疗机构，为内地中国不孕症患者施行宫腔镜术。通过微信发放电子调查问卷，收集麻醉方案、监测参数、程序编号等信息。结果：生殖技术由大陆536家机构开展，中国。调查收到了麻醉师的491份回复(91.6%)和妇科医生的436份回复(81.3%)。2021年，在268个医疗中心进行了552,225次宫腔检查。2021年麻醉下宫腔镜检的平均比例为63.8%，其中47.3%的机构麻醉比例为75%。异丙酚和阿片类镇痛剂，如芬太尼和舒芬太尼，是最常用的静脉麻醉剂。所有镇静都是由麻醉师进行的。监测指标包括脉搏血氧饱和度(98.9%)、心电图(91.6%)和无创血压(91.3%)。在31.3%的医疗机构中，麻醉师与手术室的比例为1。令人惊讶的是，52.4%的接受宫腔镜术的医疗机构没有麻醉后护理病房(PACU)。大多数有PACU的机构都配备了独立的氧源、吸引器和监护仪。60.3%的医疗中心同时使用硬式和软式宫腔镜(硬式宫腔镜45.1%，软式宫腔镜4.5%，两者均为50.4%)，宫腔内径为≤5 mm。结论：中国进行了大量宫腔镜检，镇静是最常用的麻醉方案。然而，已经观察到了诸如急救支持设备不足、人员不足和麻醉后复苏管理不力等问题。
Purpose: The need for anaesthesia or analgesia for performing hysteroscopy remains debatable. This study aimed to conduct an overview of the situation of anaesthesia for hysteroscopy in mainland China. Methods: Two questionnaires were separately designed for anaesthesiologists and gynaecologists and distributed to every medical institution that performed hysteroscopic procedures on patients with infertility in mainland China. Electronic questionnaires were distributed via WeChat, and data on anaesthesia regimen, monitoring parameters, procedure number, and other information were collected. Results: Reproductive technology is conducted by 536 institutions in mainland China. The survey received 491 responses from anaesthetists (91.6%) and 436 from gynaecologists (81.3%). In 2021, 552,225 hysteroscopies were conducted in 268 medical centres. The average percentage of hysteroscopy under anaesthesia is 63.8% in 2021, wherein 47.3% of institutions have an anaesthesia percentage of >75%. Propofol and opioid analgesics, such as fentanyl and sufentanil, were the most commonly used intravenous anaesthetics. All sedations were performed by anaesthesiologists. Monitoring parameters included pulse oxygen saturation (98.9%), electrocardiogram (91.6%) and noninvasive blood pressure (91.3%). An anaesthesiologist-to-operating room ratio of <1 was observed in 31.3% of medical institutions. Surprisingly, 52.4% of medical institutions performing hysteroscopy had no postanaesthesia care unit (PACU). Most institutions with PACU were equipped with independent oxygen sources, suction and monitors. Both rigid and flexible hysteroscopes (rigid hysteroscope, 45.1%; flexible hysteroscope, 4.5%; both types, 50.4%) were used, and the hysteroscopic diameter was ≤5 mm in 60.3% of medical centres. Conclusions: China performs a large number of hysteroscopies, and sedation is the most frequently used anesthesia regimen. However, issues such as inadequate emergency support devices, insufficient personnel and weak resuscitation management after anaesthesia, have been observed.
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影响因子：
7.2
作者：
Orlando, Megan S.;Bradley, Linda D.
通讯作者：
Bradley, Linda D.
影响因子：
3.6
作者：
Koers, Lena;Eberl, Suzanne;Preckel, Benedikt
通讯作者：
Preckel, Benedikt
DOI：
10.1016/s1074-3804(05)60272-1
发表时间：
2003-08-01
期刊：
JOURNAL OF THE AMERICAN ASSOCIATION OF GYNECOLOGIC LAPAROSCOPISTS
影响因子：
--
作者：
Cicinelli, E;Schönauer, LM;Di Naro, E
通讯作者：
Di Naro, E
影响因子：
6.1
作者：
Bettocchi, S;Ceci, O;Nappi, L
通讯作者：
Nappi, L
DOI：
10.1016/j.ejogrb.2014.04.026
发表时间：
2014-07-01
影响因子：
2.6
作者：
Deffieux, Xavier;Gauthier, Tristan;Pierre, Fabrice
通讯作者：
Pierre, Fabrice