关键词: 睡眠呼吸暂停, 阻塞性, 并发症, 悬雍垂腭咽成形术

Abstract: To study the clinical sense of post-operative ICU monitoring and nursing for patients with OSAHS. Methods348 patients with OSAHS were included in the present study. Of all patients, 199 underwent uvolopalatopharyngoplasty (UPPP), 109 underwent modified hyoid suspension in combination with UPPP, 28 underwent nasal surgery in combination with UPPP, 4 underwent 3-planar operations and 8 underwent cervical pathway tongue root and body surgery. All patients were transferred to ICU wards right after the operations, and continuously sedated and subjected to controlled hypotension. All vital signs were monitored. ResultsDuring the course of ICU monitoring, the Ramsay score was increased to 6 or the SAS score was 1. Patients were transferred back to general wards after analepsia and extubation. The time span of tracheal intubation varied from 16 to 62 hours, with an average of 19.3 hours. After being observed for 2 hours following extubation, patients would be transferred to general wards if no adverse events occurred. 19 patients suffered from mild pharyngeal bleeding and healed after expectant treatment and cold compress; 5 suffered from bleeding because of restlessness and had an elevated blood pressure, and were controlled after sedation and antihypertensive therapy; none had hemostasis or secondary hemostasis operations. 3 cases (1 had 3 planar surgeries and 2 had 2 planar surgeries) suffered a dyspnea after extubation and were subjected to emergency tracheotomies. ConclusionsOSAHS patients should be treated by post-operative ICU monitoring, retaining tracheal canulas and delayed extubation as well as sedating and analgesic drugs, so as to lower the rate of serious complications such as bleeding and airway tract obstruction.

Key words: obstructive, Complications,

Sleep apnea, Uvulopalaryngoplasty