摘要
目的:比较普通固定压力(Continuous Positive Airway Pressure,CPAP)、双水平气道正压(Bi-level Positive Airway Pressure,Bi PAP),又叫双水平气道正压通气,在阻塞性睡眠呼吸暂停低通气综合征(Obstructive Sleep Apnea Hypopnea Syndrome,OSAHS)围手术期中的应用价值。方法:选取2017年4月至2018年2月福建医科大学附属第二医院重症医学科收治的伴OSAHS患者60例,随机分为观察组和对照组,每组30例。其中对照组固定正压通气,双水平正压通气。结果:观察组术前通气时间、术后通气时间与二氧化碳潴留、不良事件合计发生率低于对照组,差异有统计学意义(P <0. 05)。结论:重症OSAHS患者围手术期使用双水平正压通气获益更好。
Objective： Compare the application value of comnlon fixation pressure CPAP and bilevel positive airway pressure （BiPAP） in the perioperative period of obstructive sleep apnea hypopnea syndrome （OSAHS）. Methods ： A to-tal of 60 patients with OSAHS from April 2017 to February 2018 were enrolled, sequentially divided into the control group and observation group, the control group were treated with fixed positive pressure ventilation. Results： The combined in-cidence of ventilation duration, carbon dioxide retention, and adverse events in the observation group was lower than that in the control group, the difference was statistically significant （ P 〈 0. 05 ）. Conclusion ： Patients with severe OSAHS benefit better by using bilateral positive pressure ventilation during perioperative period.
作者
谭国良
Tan Guoliang(The second affiliated hospital of fujian medical university,Quanzhou,36200)
出处
《世界睡眠医学杂志》
2018年第10期1230-1232,共3页
World Journal of Sleep Medicine
关键词
围手术期
持续正压通气
重症阻塞性睡眠呼吸暂停综合组
Perioperative period
Continuous positive pressure ventilation
Severe obstructive sleep apnea syn-dronle
