医护配合在阻塞性睡眠呼吸暂停低通气综合征多平面手术中应用的效果评价

Effect of doctor-nurse cooperation in multi-plane operation of obstructive sleep apnea hypopnea syndrome

目的探讨医护配合在阻塞性睡眠呼吸暂停低通气综合征（OSAHS）多平面手术中的应用的效果。方法对2008年1月至2012年12月在我科因OSAHS行多平面手术的73例患者采用随机数字表法分为观察组38例和对照组35例，观察组在整个治疗过程中强化医护配合，对照组采用传统治疗和护理方法。比较2组患者的短期和长期疗效，术中及术后并发症情况。结果本术式的短期有效率为100％，长期疗效2组间比较差异有统计学意义；在术中鼻出血量、一次性插管成功率方面2组间比较差异有统计学意义；在术后疼痛程度、拔管时间、肺部感染和软腭关闭不全等方面2组间比较差异有统计学意义。结论针对OSAHS患者实行多平面手术，有效提高了患者的短期疗效，在整个治疗过程中，加强医护配合，有效提高了患者的长期疗效，降低了患者术中及术后的并发症。

Objective To discuss the treatment effect of doctor-nurse cooperation in multi-plane operation of obstructive sleep apnea hypopnea syndrome. Methods 73 patients with multi-planar surgery due to OSAHS were divided into the observation group （38 cases） and the control group（35 cases） in our department from January 2008 to December 2012. Health care was strengthened throughout the course of treatment in the observation group and traditional treatment and care were adopted in the control group. Short-term and long-term efficacy, intraoperative and postoperative complications were compared between two groups. Results The operation of short- term effective rate was 100%, and significant differences were found in the long-term efficacy between the two groups. There were significant differences in nasal bleeding during surgery, one-time intubation success rate and the significances were found in postoperative pain, extubation time, lung infection and soft palate regurgitation between two groups. Conclusions The implementation of the multi-plane surgery for patients with OSAHS can effectively improve the short-term efficacy of the patients throughout the course of treatment. Strengthening doctor-nurse cooperation effectively improve the patients＇ long-term efficacy, reducing the patients＇ intraoperative and pestoperative complications.