Huang Yu-Yin, Lee Hsien-Kuang, Juan Chung-Hau, Hastorf Peter, Tsai Shen-Kou, Tsou Mei-Yung
Department of Anesthesiology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Acta Anaesthesiol Taiwan. 2005 Mar;43(1):33-8.
In recent years, the incidences of stomach and colon cancers have ranked within the top fives of all malignancies in Taiwan. To say healthwise, regular gastrointestinal (GI) endoscopic examinations are recommended, as they are the best way for early detection. However, unpleasantness of and terrible experience from the examination greatly discourage the acceptance of many people even of the suspected groups. Now, the administration of sedative or analgesic to achieve the so called "conscious sedation" during GI endoscopy which brings about better tolerability and improves general acceptance offers a more satisfactory service. In this article, the related issues about preprocedure evaluation, preparation, medications and complications of conscious sedation in GI endoscopy are discussed after review.
近年来，胃癌和结肠癌的发病率在台湾所有恶性肿瘤中位列前五。从健康角度而言，建议定期进行胃肠（GI）内镜检查，因为这是早期发现的最佳方法。然而，检查带来的不适和糟糕体验极大地阻碍了许多人甚至疑似人群接受检查。如今，在胃肠内镜检查期间给予镇静剂或镇痛药以实现所谓的“清醒镇静”，这带来了更好的耐受性并提高了总体接受度，提供了更令人满意的服务。在本文中，回顾之后讨论了胃肠内镜检查中清醒镇静的术前评估、准备、用药及并发症等相关问题。
