关键词: 睡眠呼吸暂停, 阻塞性, 围手术期, 治疗

Abstract: To investigate the management and implications during the peri-operative period of obstructive sleep apnea hypopnea syndrome(OSAHS). MethodsSerious complications during 1030 OSAHS operations from 1998 to 2007 were retrospectively analyzed. Of them, before September 2002, 396 patients (group A) were not treated with comprehensive management, and after September 2002, 634 patients (group B) were treated with comprehensive managements. ResultsIn group A, one patient died of complications, ten had primary hemorrhage, fifteen had secondary hemorrhage, thirty-five had nasopharyngeal refluxing in the short term, and one had nasopharyngeal clausura after the operations. In group B, four had primary hemorrhage, nine had secondary hemorrhage, eleven had nasopharyngeal refluxing in the short term after the operations. Complications were decreased in group B compared with group A (P＜0.05). ConclusionComprehensive pre-operative management can improve the patients′ tolerance of surgery and anesthesia, and reduce surgical risks and post-operative complications.

Key words: obstructive, Peri-operative period, Sleep apnea, Treatment