摘要
总结22例阻塞性睡眠呼吸暂停低通气综合征患者行Repose骨螺钉舌根、舌骨悬吊术联合悬雍垂腭咽成形术+舌根射频消融术的护理经验。手术前加强心理护理,合理安排病房和疏导其他病友,减轻患者的自卑感;术后重点观察血压和血氧饱和度、创面出血情况、舌体的运动和感觉功能、睡眠情况等;加强气管插管护理、疼痛护理和应用镇静剂护理;给予合理饮食的指导。所有患者在手术后3～6个月复查多导睡眠呼吸监测,结果:显效7例,有效11例,无效4例;手术后3～6个月复查CT显示腭咽平面、舌咽腔截面积较手术前明显扩大。
This paper summarized the nursing experience of patients with obstructive sleep apnea hypopnea syndrome undergoing Repose bone crew system combined with uvulopalatopharyngoplasty and tongue base radiofrequency ablation. Preoperative psychological nursing was carried out and then after the operation, blood pressure, blood oxygen saturation, bleeding, motor and sensory function of tongue and sleep were under strict monitoring. Great importance should be attached to the nursing of tracheal intubation, pain and sedatives. Patients received diet guidance as well. Polysomnographic monitoring for all the patients in the study indicated that 7 patients were with remarkable effects and only 4 patients displayed no recovery. CT three to six months after the operation showed that areas of velopharyngeal and tongue-pharyngeal were significantly larger than those before the operation.
出处
《护理学报》
2011年第19期47-49,共3页
Journal of Nursing（China）
关键词
阻塞性睡眠呼吸暂停低通气综合征
骨螺钉
腭咽成形术
围术期
护理
obstructive sleep apnea hypopnea syndrome
bone crew
uvulopalatopharyngoplasty
perioperation
nursing care
