摘要
目的:探讨无创双相气道正压(biphasic positive airway pressure,BIPAP)通气对阻塞性睡眠呼吸暂停综合征(obstructivesleep apnea syndrone,OSAS)患者腭咽成形术(palatopharyngoplasty,PPP)气管导管拔除后在麻醉苏醒室(post anaesthetic careunit,PACU)呼吸支持的临床应用价值。方法:对30例OSAS患者PPP气管导管拔除后麻醉苏醒期行BIPAP无创通气,观察其治疗前后呼气末二氧化碳分压(PetCO2)、脉搏血氧饱和度(SpO2)变化和对循环的影响。结果:30例患者均在气管拔管后PACU期间因出现低氧和高碳酸血症进行了BIPAP无创呼吸支持治疗,呼吸支持后30min和1h的SpO2和PetCO2都明显好于呼吸支持前,且对患者循环功能无影响。结论:BIPAP无创通气是OSAS患者PPP术气管导管拔除后PACU期间发生低氧和高碳酸血症有效、可靠的预防和治疗方法。
Objective:To evaluate the effect of non-invasive biphasic positive airway pressure(BIPAP)ventilation on post extubation respiration support the in patients with palatopharyngoplasty(PPP).Methods:Thirty patients with obstructive sleep apnea syndrome(OSAS)undergoing PPP post extubation in the post anaesthetic care unit(PACU)by non-invasive BIPAP ventilation.Systolic blood pressure(SBP),diastolic blood pressure(DBP),heart rate(HR),pulse blood oxygen saturation(SpO2)and end expiratory carbon dioxide partial pressure(PetCO2)before or after non-invasive BIPAP were recorded.Results:Thirty patients with PPP post extubation wered received non-invasive BIPAP ventilation because of hypoxia and hypercapnia.SpO2 increased and PetCO2 decreased significantly after non-invasive BIPAP ventilation 30 minutes and one hour,compared with before non-invasive BIPAP ventilation,however,SBP,DBP,and HR had no difference before and after the non-invasive BIPAP ventilation.Conclusions:Non-invasive BIPAP ventilation is suitable for post extubation respiratory support in patients with OSAS post PPP because of hypoxia and hypercapnia in the PACU.
出处
《蚌埠医学院学报》
CAS
2010年第5期476-478,共3页
Journal of Bengbu Medical College
关键词
睡眠呼吸暂停综合征
腭咽成形术
麻醉苏醒室
双相气道正压通气
sleep apnea syndrone
palatopharyngoplasty
post anaesthetic care unit
biphasic positive airway pressure ventilation