阻塞性睡眠呼吸暂停低通气综合征患者围手术期护理

Perioperative care of patients with obstructive sleep apnea hypopnea syndrome

目的:探讨阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者围手术期的护理方法。方法:选择2008年5月～2011年5月我院OSAHS患者85例,均行悬雍垂腭咽成形术(UPPP),将其随机分为观察组43例和对照组42例,两组均做好围手术期护理,观察组术前行持续正压通气治疗(CPAP),对照组未行CPAP治疗,术后均应用多导睡眠监测仪(PSG)监测,观察两组相关监测参数并比较。结果:观察组患者均能耐受CPAP治疗,OSAHS症状明显缓解,观察组患者最长呼吸暂停时间及呼吸暂停低通气指数均显著低于对照组(P<0.05),而最低血氧饱和度显著高于对照组(P<0.05)。结论:UPPP术前应用CPAP治疗OSAHS可显著缓解临床症状,加强围手术期护理可有效降低手术治疗的危险性。

Objective： To investigate methods of perioperative nursing of patients with obstructive sleep apnea hypopnea syndrome（OSAHS）.Methods：The clinical and pathological data of 85 cases of patients who were diagnosed with obstructive sleep apnea hypopnea syndrome and underwent uvulopalatopharyngoplasty surgery（UPPP） from May 2008 to May 2011 were reviewed.All the patients were randomly observation group（n=43） and control group（n=42）,and two groups patients we gave perioperative nursing.Observation group patients were treated with preoperative continuous positive pressure ventilation（CPAP）.control group patients were not treated with CPAP but treated with postoperative polysomnography device application（PSG） monitoring.We observed the relevant monitoring parameters of these two groups and compared.Results：All of The patients of group A were able to tolerate CPAP treatment,OSAHS symptoms were relieved.Two sets of indicators for monitoring patients after treatment than before treatment were significantly different.After treatment,the longest apnea time and the apnea-hypopnea index of the observation group were significantly lower than the control group（P0.05）,and lowest oxygen saturation was significantly higher（P0.05）.Conclusion：UPPP preoperative CPAP treatment of OSAHS can significantly relieve symptoms,enhance perioperative care can effectively reduce the risk of surgery.