腭咽成形联合Repose系统舌根牵引术治疗阻塞性睡眠呼吸暂停低通气综合征患者的围术期护理

Perioperative Nursing for Hyoid Suspension with Repose System Combined with Uvulopalatopharyngoplasty in Patients with Obstructive Sleep Apnea Hypopnea Syndrome

目的探讨腭咽成形术联合Repose系统舌根牵引术的围术期护理方法,以减少并发症的发生,提高手术治疗的成功率。方法对26例阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea hypopnea syndrome,OSAHS)患者采用腭咽成形联合Repose系统舌根牵引术治疗。结果所有患者均手术顺利,医护人员术中配合默契,患者症状改善显著。患者术后均出现不同程度的吞咽疼痛、吞咽和讲话困难、进流质反流入鼻腔等情况,于1～2周内上述症状消失,无后遗症。结论腭咽成形联合Repose系统舌根牵引术可有效治疗OSAHS,充足的术前准备和熟练的护理配合可使手术顺利开展,并减少手术并发症的发生。

Objective To explore the perioperative nursing of hyoid suspension with repose system combined with uvulopalatopharyngoplasty so as to improve the success rate of surgery and minimize the complications’ occurrence.Methods Hyoid suspension with repose system combined with uvulopalatopharyngoplasty was conducted in 26 patients with obstructive sleep apnea hypopnea syndrome（OSAHS）.Results All the operations were completed successfully.With harmonious corporation of medical crews,the patients’ symptoms were improved significantly.All the patients had different degrees of swallowing pain,swallowing and speech difficulties,and counter flow of liquid into nasal cavity,which disappeared in 1 to 2 weeks without sequelae.Conclusion Hyoid suspension with repose system combined with uvulopalatopharyngoplasty is an effective treatment for OSAHS.Complete preoperation preparations and skilled nursing can make the operation go smoothly and reduce surgical complications.