目的 探讨经口腔黏膜入路舌悬吊术治疗阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的可行性及优势。方法 收录中南大学湘雅二医院2018年6月~2019年6月,经整夜多道睡眠图(PSG)监测诊断且Fujita分级为Ⅱ级的OSAHS患者46例,分为两组:口腔黏膜...目的 探讨经口腔黏膜入路舌悬吊术治疗阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的可行性及优势。方法 收录中南大学湘雅二医院2018年6月~2019年6月,经整夜多道睡眠图(PSG)监测诊断且Fujita分级为Ⅱ级的OSAHS患者46例,分为两组:口腔黏膜入路组(20例)行悬雍垂腭咽成形术(UPPP)+口腔黏膜入路舌悬吊术,颏下入路组(26例)行UPPP+颏下入路舌悬吊术。比较两组患者在手术操作时间、引流量、术后住院时间、术后并发症和疼痛评分方面的差异。术后6个月复查,PSG监测对比手术疗效,并对患者进行伤口瘢痕评分、外观满意度评分对比术后切口外观。结果 在手术操作时间、引流量、术后住院时间、并发症、疼痛评分两组差异均无统计学意义(P>0.05)。术后6个月复查PSG监测,两组患者呼吸暂停低通气指数(AHI)、血氧饱和度<90%时间占监测总时间的百分比(the percent of the total record time spent below 90% oxygen saturation,TS90%)和最低血氧饱和度(LSaO)差异均无统计学意义(P>0.05)。在术后瘢痕评分方面,口腔黏膜入路组明显优于颏下入路组(P<0.01)。结论 口腔黏膜入路舌悬吊术在不延长患者的治疗时间、不增加手术并发症的基础上,可以达到较好的美容效果,满足患者对术后美观的期望,值得临床推广和应用。展开更多
Objective:To observe the effect of acupoint massage plus acupoint sticking therapy for the stress reaction during postoperative anesthesia recovery period in patients undergoing nasal endoscopic surgery.Methods:A tota...Objective:To observe the effect of acupoint massage plus acupoint sticking therapy for the stress reaction during postoperative anesthesia recovery period in patients undergoing nasal endoscopic surgery.Methods:A total of 120 patients undergoing nasal endoscopic surgery were included,and all patients were under trachea intubation and general anesthesia.The patients were randomized into an observation group and a control group,with 60 patients in each group.Patients in the control group received conventional anesthesia resuscitation,while patients in the observation group received acupoint massage plus acupoint sticking therapy on the basis of conventional anesthesia resuscitation.Changes in the heart rate (HR),systolic blood pressure (SBP) and diastolic blood pressure (DBP) were observed at three time points including the end of the surgery (TO),the removal of the tracheal tube (T1) and 10 min after the removal of the tracheal tube (T2).The awakening and tube removal time,choking cough and restlessness,and adverse reactions (dizziness,nausea and vomiting) in 24 h post-surgery period were compared.Results:At T1 and T2,the comparisons of HR,SBP and DBP between the two groups showed statistical significance (all P＜0.05).Intra-group comparisons showed that the HR,SBP and DBP of the control group at T1 and T2 were significant different from those at TO (all P＜0.05).There were significant differences in the awakening time and tube removal time between the two groups (both P＜0.05).The incidences of choking cough and restlessness were 8.3％ and 3.3％ respectively in the observation group,versus 53.3％ and 30.0％ in the control group,and the between-group comparisons showed statistical significance (both P＜0.05).The incidences of dizziness,nausea and vomiting in 24 h post-surgery period were 3.3％,5.0％ and 0.0％ respectively in the observation group,versus 43.3％,33.3％ and 25.0％ in the control group,and the between-group comparisons showed statistical significance (all P＜0.05).Conclusion:Acupoint massage plus acupoint sticking therapy can effectively regulate the stress reaction during postoperative anesthesia recovery period in patients undergoing nasal endoscopic surgery,and maintain a stable internal environment.展开更多
文摘目的 探讨经口腔黏膜入路舌悬吊术治疗阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的可行性及优势。方法 收录中南大学湘雅二医院2018年6月~2019年6月,经整夜多道睡眠图(PSG)监测诊断且Fujita分级为Ⅱ级的OSAHS患者46例,分为两组:口腔黏膜入路组(20例)行悬雍垂腭咽成形术(UPPP)+口腔黏膜入路舌悬吊术,颏下入路组(26例)行UPPP+颏下入路舌悬吊术。比较两组患者在手术操作时间、引流量、术后住院时间、术后并发症和疼痛评分方面的差异。术后6个月复查,PSG监测对比手术疗效,并对患者进行伤口瘢痕评分、外观满意度评分对比术后切口外观。结果 在手术操作时间、引流量、术后住院时间、并发症、疼痛评分两组差异均无统计学意义(P>0.05)。术后6个月复查PSG监测,两组患者呼吸暂停低通气指数(AHI)、血氧饱和度<90%时间占监测总时间的百分比(the percent of the total record time spent below 90% oxygen saturation,TS90%)和最低血氧饱和度(LSaO)差异均无统计学意义(P>0.05)。在术后瘢痕评分方面,口腔黏膜入路组明显优于颏下入路组(P<0.01)。结论 口腔黏膜入路舌悬吊术在不延长患者的治疗时间、不增加手术并发症的基础上,可以达到较好的美容效果,满足患者对术后美观的期望,值得临床推广和应用。
文摘Objective:To observe the effect of acupoint massage plus acupoint sticking therapy for the stress reaction during postoperative anesthesia recovery period in patients undergoing nasal endoscopic surgery.Methods:A total of 120 patients undergoing nasal endoscopic surgery were included,and all patients were under trachea intubation and general anesthesia.The patients were randomized into an observation group and a control group,with 60 patients in each group.Patients in the control group received conventional anesthesia resuscitation,while patients in the observation group received acupoint massage plus acupoint sticking therapy on the basis of conventional anesthesia resuscitation.Changes in the heart rate (HR),systolic blood pressure (SBP) and diastolic blood pressure (DBP) were observed at three time points including the end of the surgery (TO),the removal of the tracheal tube (T1) and 10 min after the removal of the tracheal tube (T2).The awakening and tube removal time,choking cough and restlessness,and adverse reactions (dizziness,nausea and vomiting) in 24 h post-surgery period were compared.Results:At T1 and T2,the comparisons of HR,SBP and DBP between the two groups showed statistical significance (all P＜0.05).Intra-group comparisons showed that the HR,SBP and DBP of the control group at T1 and T2 were significant different from those at TO (all P＜0.05).There were significant differences in the awakening time and tube removal time between the two groups (both P＜0.05).The incidences of choking cough and restlessness were 8.3％ and 3.3％ respectively in the observation group,versus 53.3％ and 30.0％ in the control group,and the between-group comparisons showed statistical significance (both P＜0.05).The incidences of dizziness,nausea and vomiting in 24 h post-surgery period were 3.3％,5.0％ and 0.0％ respectively in the observation group,versus 43.3％,33.3％ and 25.0％ in the control group,and the between-group comparisons showed statistical significance (all P＜0.05).Conclusion:Acupoint massage plus acupoint sticking therapy can effectively regulate the stress reaction during postoperative anesthesia recovery period in patients undergoing nasal endoscopic surgery,and maintain a stable internal environment.
