Obara Katsutoshi, Haruma Ken, Irisawa Atsushi, Kaise Mitsuru, Gotoda Takuji, Sugiyama Masanori, Tanabe Satoshi, Horiuchi Akira, Fujita Naotaka, Ozaki Makoto, Yoshida Masahiro, Matsui Toshiyuki, Ichinose Masao, Kaminishi Michio
The Japan Gastroenterological Endoscopy Society, Tokyo, Japan.
The Japanese Society of Anesthesiologists, Tokyo, Japan.
Dig Endosc. 2015 May;27(4):435-449. doi: 10.1111/den.12464.
Recently, the need for sedation in gastrointestinal endoscopy has been increasing. However, the National Health Insurance Drug Price list in Japan does not include any drug specifically used for the sedation. Although benzodiazepines are the main medication, their use in cases of gastrointestinal endoscopy has not been approved. This has led the Japan Gastrointestinal Endoscopy Society to develop the first set of guidelines for sedation in gastrointestinal endoscopy on the basis of evidence-based medicine in collaboration with the Japanese Society for Anesthesiologists. The present guidelines comprise 14 statements, five of which were judged to be valid on the highest evidence level and three on the second highest level. The guidelines are not intended to strongly recommend the use of sedation for gastrointestinal endoscopy, but rather to indicate the policy as to the choice of appropriate procedures when such sedation is deemed necessary. In clinical practice, the final decision as to the use of sedation should be made by physicians considering patient willingness and physical condition.
最近，胃肠内镜检查中镇静的需求一直在增加。然而，日本的国家医疗保险药品价格表中不包括任何专门用于镇静的药物。尽管苯二氮䓬类药物是主要用药，但它们在胃肠内镜检查中的使用尚未获得批准。这促使日本胃肠内镜学会与日本麻醉医师学会合作，在循证医学的基础上制定了第一套胃肠内镜检查镇静指南。本指南包括14项声明，其中5项被判定为具有最高证据水平的有效性，3项为次高证据水平。这些指南并非强烈推荐在胃肠内镜检查中使用镇静，而是旨在指明在认为有必要进行这种镇静时选择适当程序的策略。在临床实践中，关于是否使用镇静的最终决定应由医生根据患者的意愿和身体状况做出。
