关键词: 睡眠呼吸暂停，阻塞性；外科手术；麻醉

Abstract:

To explore the anesthesia management for obstructive sleep apnea hypopnea syndrome(OSAHS) during the operations.  Methods145  patients  with OSAHS were subjected to the Mallampati classification based on the throat exposure. 114 cases of gradeⅠto Ⅱ were classed to the rapid intubation group, 25 of grade Ⅲ to Ⅳ to the clear intubation group and 6 cases over 100 kg and with short necks and grade Ⅲ to Ⅳ to the tracheotomy group. Patients in the rapid intubation group  were subjected to extubation after sobering and sent to the care ward. Patients in the sober intubation group and tracheotomy group were sent to the ICU care. ResultsPatients in the rapid intubation group and tracheotomy group were successfully intubated. 7 cases in the sober intubation group with respiratory depression were successfully intubated after respiratory mask support. None of the three groups had obstructions in the upper respiratory tract. When performing extubation, 6 cases in  the rapid intubation group had nausea or vomiting and 8 had respiratory depression. ConclusionTo reduce the perioperative risks, it is important to select a correct induction method, make a pre-operative visit and a reasonable drug choice, grasp the extubation time,  and strengthen custody after the operations.

Key words: Sleep apnea hypopnea， obstructive； Surgical procedures, operative； Anesthesia