舌骨悬吊联合UPPP术治疗OSAHS患者普通病房围手术期的处理

山东大学耳鼻喉眼学报 ›› 2008, Vol. 22 ›› Issue (6): 486-488.

舌骨悬吊联合UPPP术治疗OSAHS患者普通病房围手术期的处理

吕巧英，李曙华，宋瑞英，宫本娜

青岛大学医学院附属烟台毓璜顶医院，山东烟台 264000

收稿日期:2008-09-13 修回日期:2008-10-13 出版日期:2008-12-16 发布日期:2008-12-16
通讯作者: 吕巧英 ytebhzqq@163.com
作者简介:吕巧英，女，主管护师，主要从事手术护理方面的研究。Email:ytebhzqq@163.com

Peri-opeartive management after hyoid bone suspension and uvulopalatopharyngoplasty in normal wards

LV Qiao-Ying, LI Shu-Hua, SONG Rui-Ying, GONG Ben-Na

Yantai Yuhuangding Hospital, Medical College of Qingdao University, Yantai 264000, Shandong, China

Received:2008-09-13 Revised:2008-10-13 Online:2008-12-16 Published:2008-12-16

摘要/Abstract

摘要：

目的探讨舌骨悬吊与悬雍垂腭咽成形术（UPPP）联合手术治疗阻塞性睡眠呼吸暂停低通气综合征（OSAHS）围手术期的观察、处理的必要性。方法对78例患者术前均行多导睡眠呼吸监测，完善各系统的术前检查，并请相关科室会诊治疗相关疾病，根据情况行3～7d的正压通气治疗；术后自ICU病房转入普通病房后加强心电监护，密切观察呼吸、血压等变化，及时处理发生的问题等。结果1例术后3d因咳嗽发生继发性出血，经二次手术止血出血停止; 2例颈部切口渗液，经处理后延迟愈合;6例开始进食时略有呛咳，经锻炼后在第3天消失。其余患者术后2～4d舌体运动略有受限，5～7d后舌体运动正常。结论舌骨悬吊与UPPP的联合手术治疗OSAHS有一定的潜在危险，加强围手术期的处理能显著提高患者对手术的耐受性，降低手术风险，减少并发症的发生。

关键词: 睡眠呼吸暂停，阻塞性；悬雍垂腭咽成形术；围手术期

Abstract:

To study the necessity of peri-operative observation and management after hyoid bone suspension and uvulopalatopharyngoplasty(UPPP) surgery in treating obstructive sleep apnea hypopnea syndrome (OSAHS). MethodsAll patients were subjected to polysomnography(PSG) and necessary preoperative examinations before the operations, and after being treated for related diseases, were subjected to CPAP for 3-7 days, and were subjected to electrocardio-monitoring after being transferred from the ICU department to the normal wards. ResultsOne patient suffered from secondary bleeding by coughing and was subjected to a second operation. 2 cases suffered from cervical cut effusion and were healed after changing dressings. 6 suffered from bucking when eating at the beginning and were relieved after 3-day practicing. And the rest suffered a mild difficulty in moving their tongue and recovered 5 to 7 days later. ConclusionsThere are potential dangers after hyoid bone suspension and UPPP surgery, which can be decreased by intensive nursing.

Key words: Sleep apnea, obstructive; Uvulopalatopharyngoplasty; Peri-operative period

中图分类号:

R766.7

吕巧英李曙华宋瑞英宫本娜. 舌骨悬吊联合UPPP术治疗OSAHS患者普通病房围手术期的处理[J]. 山东大学耳鼻喉眼学报, 2008, 22(6): 486-488.

LV Qiao-Ying, LI Shu-Hua, SONG Rui-Ying, GONG Ben-Na. Peri-opeartive management after hyoid bone suspension and uvulopalatopharyngoplasty in normal wards[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(6): 486-488.

参考文献

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