摘要
目的探讨中重度阻塞性睡眠呼吸暂停低通气综合征(obstructivesleepapneahypopneasyndromeOSAHS)的围手术期治疗。方法回顾分析42例中重度OSAHS患者围手术期处理临床资料,包括术前全身病情评估与处理,术前术后经鼻持续正压通气(continuouspositiveairwaypressure,CPAP)治疗,麻醉风险评估与处理,麻醉术后恢复期处理,术后重症监护中心(intensivecareunit,ICU)处理。结果围手术期无呼吸道梗阻发生,术后6个月疗效总有效率92.86%。结论中重度OSAHS患者围手术期危险性高,认真进行围手术期处理,可以降低手术风险,防止重大并发症发生。
OBJECTIVE To explore the perioperative therapy of middle or severe obstructive sleep apnea hypopnea syndrome（OSAHS） patients. METHODS Perioperative period therapy included：① preoperative evaluation and treatment of general state of illness;② continue positive air way pressure for preoperation and postoperation;③ evaluation and treatment of anaesthesia risks;④ postoperative convalescence treatment of anaesthesia;⑤ postoperative treatment of intensive care unit. RESULTS Obstraction didn＇t hoppen during the perioperactive trentment,the effeotive percentwas 92.86 % after sinminths. CONCLUSION For severe OSAHS patients,the perioperative condition has the possibility of getting worse, we can lower the perioperative risks and prevent the occurrence of momentousness complications by the perioperative treatments.
出处
《中国耳鼻咽喉头颈外科》
北大核心
2005年第10期625-627,共3页
Chinese Archives of Otolaryngology-Head and Neck Surgery
