主动干预在减少阻塞性睡眠呼吸暂停低通气综合征围手术期并发症中的意义

Significance of active intervention in reducing peroperative complications of obstructive sleep apnea hypopnea syndrome

目的探讨主动干预在减少阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea hypopnea syndrome,OSAHS)围手术期并发症中的意义。方法回顾性分析曙光医院耳鼻喉科181例行改良悬雍垂腭咽成形术(Han-UPPP,H-UPPP)患者,根据围手术期是否采用主动干预措施分为两个时间段。2003年6月~2006年6月间未采用主动干预措施,手术患者52例(未主动干预组);2006年7月~2013年6月间采用一系列主动干预措施,手术患者129例(主动干预组)。观察两组围手术期并发症发生情况。结果未主动干预组出现严重并发症3例,轻度并发症48例;主动干预组无严重并发症发生,但出现轻度并发症16例。两组并发症发生率比较,差异有统计学意义(P<0.05)。结论经过主动干预,OSAHS行H-UPPP围手术期并发症发生率明显降低。

OBJECTIVE To explore the significance of active interventions in reducing peroperative complications of obst r uctive sleep apnea hy popnea sy nd rome. M ETHODS Ret rospect ive a nalysis of the clinical data of 181 OSAHS patients with H-UPPP. They were divided into two groups according to active i nter vent ions. T he cli n ical records were analyzed. RESULTS There were no significant differences in age, gender, BMI, AHI and LSaO2 between two groups(P>0.05). There were severe complications in 3 cases and mild complications in 48 cases in the group without active interventions, while there were no severe complications in the group with active interventions, but mild complications in 16 cases. The difference between two groups was significant(P<0.05). CONCLUSION The active inter ventions obviously decreased the incidence of surgical complications, and avoided serious complications in OSAHS patients with H-UPPP.