肥胖患者无痛胃肠镜检查麻醉药物的选择  

Selection of anesthetic drugs for painless gastrointestinal endoscopy in obese patients

作　　者：迪力萨尔阿依·艾合买提 朱素洁[1] DILISAERAYI Aihemaiti;ZHU Sujie(Department of Anesthesiology,The First Affiliated Hospital of Xinjiang Medical University,Xinjiang Perioperative Organ Protection Key Laboratory(XJDX1411),Urumqi 830000,China)

机构地区：[1]新疆医科大学第一附属医院麻醉科新疆围术期器官保护实验室(XJDX1411),新疆乌鲁木齐830000

出　　处：《麻醉安全与质控》2024年第4期229-233,共5页Perioperative Safety and Quality Assurance

摘　　要：随着医疗技术的发展及人们对舒适化医疗要求的提高,无痛逐渐成为大多数患者行胃肠镜检查时的首选。无痛胃肠镜检查具有提高患者接受度、检查时间短、结果精确等特点。肥胖虽然不是无痛胃肠镜检查的绝对禁忌证,但因其特殊的生理特征,增加了麻醉药物的选择、麻醉管理方面的难度及风险,应当充分了解其特殊性,制定个体化麻醉用药方案,将肥胖患者的麻醉风险降至最低。With the development of medical technology and the improvement of people's requirements for comfortable medical care,painless gastroenteroscopy has gradually become the first choice for most patients undergoing gastrointestinal endoscopy.Painless gastrointestinal endoscopy has the characteristics of improved patient acceptance,short examination time,and accurate results.Although obesity is not an absolute contraindication to painless gastrointestinal endoscopy,considering its special physiological characteristics,it increases the difficulty and risk of anesthetic drug selection and anesthesia management.Therefore,we should fully understand its particularity and formulate an individualized anesthetic medication plan to minimize the anesthetic risk of obese patients.

关 键 词：无痛胃肠镜 无痛 肥胖 

分 类 号：R614[医药卫生—麻醉学]