发展无痛胃肠镜需优化麻醉和消化双学科的强强组合  

Developing painless gastrointestinal endoscopy needs optimizing strong combination of aneathesia and digestion double disciplines

作　　者：邓硕曾[1] 王秋育[1] 张金华[1] Deng Shuozeng;Wang Qiuyu;Zhang Jinhua(Department of Anesthesiology,Dongfang Hospital of Beijing University of Chinese Medicine,Beijing City 100078,China)

机构地区：[1]北京中医药大学东方医院麻醉科,北京市100078

出　　处：《中华疼痛学杂志》2022年第1期25-27,共3页Chinese Journal Of Painology

摘　　要：无痛胃肠镜(PGIE)需要两个相关学科的优化组合:(1)镇静与镇痛组合;(2)麻醉科医生与消化内科医生组合。镇静/镇痛不是全麻而是一种多元化的麻醉组合,用纳布啡取代舒芬太尼,是因为纳布啡具有镇静/镇痛的双重作用。纳布啡能缓解胃肠道的内脏痛而没有呼吸抑制和恶心呕吐等不良反应。麻醉科医生与消化内科医生的优化组合,可以使无痛胃肠镜的操作更舒适,安全和快捷,从而缩短诊疗时间。The painless gastrointestinal endoscopy(PGIE)needs optimal combination of two relevant disciplines:(1)sedation/analgesia combination;(2)anesthetist/digestive physician combination.Sedation/analgesia combination is a kind of diverse anesthetic drugs combination,but not general anesthesia.Nalbuphine replaces sufentanil because nalbuphine has dual effects of sedation and analgesia.Nalbuphin can relieve visceral pain of gastrointestinal tract,while no respiratory depression and nausea/vomiting adverse reactions.The optimal combination of anesthetist/digestive physician can make the PGIE more comfortable,safe and shorten the period of diagnosis and treatment.

关 键 词：镇静 镇痛 无痛胃肠镜 麻醉科医生 消化内科医生 优化组合 

分 类 号：R614[医药卫生—麻醉学]