阻塞性睡眠呼吸暂停综合征患者困难气道评估的研究

AResearch of difficult airway assessment in patients with obstructive sleep apnea hypopnea syndrome

阻塞性睡眠呼吸暂停综合征(obstructive sleep apnea hypopnea syndrome,OSAS)是常见的睡眠呼吸障碍疾病,易导致上呼吸道狭窄、舌体后坠、低氧血症等解剖及生理的改变。OSAS是引发麻醉困难插管的常见原因之一,准确评估此群体的困难气道对预防围术期不良事件发生有重要意义。目前困难气道的评估手段多样,评价不一,本文就OSAS困难气道的各类评估方法进行综述,总结困难气道预测的新趋势,帮助麻醉医师进行准确的术前评估。

Obstructive sleep apnea hypopnea syndrome(OSAS)is a disease characterized by intermittent complete or partial upper airway obstruction accompanied by hypoxemia during sleep and is a common cause of difficult intubation.Patients with confirmed or highly suspected OSAS are usually at higher risk for difficult airways.Prediction of difficult airway in OSAS patients is of great significance to prevent perioperative adverse events.The current assessment tools for difficult airways are varied and evaluated inconsistently.In this article,we provide an overview of the various types of predictors of difficult intubation in OSAS and summarize the new trends in the prediction of difficult intubation to help anesthesiologists make accurate preoperative assessments.