重症阻塞性睡眠呼吸暂停低通气综合征术前气管切开探讨  

STUDY ON PREOPERATIVE TRACHEOTOMY IN TREATMENT FOR SEVERE COMPLICATIONS OSAHS(OBSTRUCTIVE SLEEP APNEA HYPOPNEA SYNDROME)

作　　者：万明[1] 

机构地区：[1]贵州省遵义医学院附院耳鼻咽喉科,遵义563003

出　　处：《现代预防医学》2011年第18期3793-3794,共2页Modern Preventive Medicine

摘　　要：[目的]探讨重症阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者行(UPPP)手术前气管切开对患者术后严重并发症的预防作用及疗效情况。[方法]分析某院收治的73例重症OSAHS患者,将其分为术前气管切开组和非气管切开组,分析两组患者手术并发症的发生情况及总有效率。[结果]术前气管切开组并发症发生率显著低于非术前气管切开组,两组患者进行6个月及12个月的术后跟踪,最低SaO2、AHI两项指标显示总有效率两组间无明显差异。[结论]对于重症OSAHS患者的治疗,术前气管切开是预防术后严重并发症的有效措施,对确保手术的安全性十分必要。术前气管切开不影响手术疗效。[Objective]To investigate the value of preoperative tracheotomy in preventing（OSAHS）severe complications in preoperative and postoperative period of UPPP/PPP.[Methods]We retrospectively analyzed 73 OSAHS severe cases,and these cases were divided into tracheotomy group and non-tracheotomy group.Preoperative and postoperative total effective rate and complications of these cases were studied.[Results]All cases underwent examinations in pre-operation,6 months post-operation and 1 year post-operation.The incidence of complications in tracheotomy group was lower than non-tracheotomy group.AHI and SaO2 indicated that the total effective rate in two groups were nit statistically significant（P﹤0.01）.[Conclusion]It is very necessary to do tracheotomy preoperatively so as to prevent severe complications of OSAHS and ensure the safety of surgical operation.

关 键 词：重症阻塞性睡眠呼吸暂停综合征 气管切开术 并发症 

分 类 号：R76[医药卫生—耳鼻咽喉科]