控制性降压全麻在阻塞性睡眠呼吸暂停综合征患者悬雍垂腭咽成形术中的应用  

Application of hypotension general anesthesia in uvulopalatophary- ngoplasty for the patients of obstructive sleeping apnea syndrome

作　　者：汪晨[1] 张英民[1] 熊东方[1] 李扬[1] 路志红[1] 宗小娜[2] 屈涓[2] 

机构地区：[1]第四军医大学西京医院麻醉科,陕西西安710032 [2]第四军医大学西京医院耳鼻喉科,陕西西安710032

出　　处：《心脏杂志》2002年第2期145-148,共4页Chinese Heart Journal

摘　　要：目的 :探讨控制性降压全麻在阻塞性睡眠呼吸暂停综合征 (OSAS)患者悬雍垂腭咽成形术 (U PPP)中的意义及作用。方法 :OSAS患者随机分为对照组、观察组 ,每组 2 0名。对照组采用静吸复合全麻 ,观察组为控制性降压全麻。结果 :在充分扩容基础上 ,观察组较对照组平均动脉压降低 ,HR减慢 (均 P<0 .0 5 ) ,且部分患者 ECG下移 S-T段恢复正常 ;控制性降压术中出血量明显减少 ,术野清晰 ,术者满意度提高 ,手术时间缩短 ,麻醉并发症减少。结论 :控制性降压全麻应用于 UPPP手术中安全、有效 ,应予以推广。AIM: To find out the meaning and effect of hypotension general anesthesia (HGA) being used in uvulopalatopharyngoplasty(UPPP)for the patients of obstructive sleeping apnea syndrome ( OSAS ). METHODS: The OSAS's patients were randomly divided into two groups [ Control & IG(Investigation group )], which had 20 patients in each one. The introvenous-inhalational complexed anesthesia was used in Control, However, HGA was used in IG. RESULTS: Depending upon the enlarged fluid sufficiently, The MAP and HR intro-operative in IG were significantly less than those in Control (P<0.05), The descended S-T segment of certain patients in IG was recovered to normal. Due to blood loss being decreased by HGA in IG, More clearer was operative view, More satisfied were the ENT's surgeons, More shorten was the operative time, and the complication of anesthesia were also reduced. CONCLUSION:Hypotension general anesthesia is safe and available to be used in UPPP. It would be recommendated.

关 键 词：控制性降压全麻 阻塞性睡眠呼吸暂停综合征 悬雍垂腭咽成形术 平均动脉压 心率 心电图 

分 类 号：R563.9[医药卫生—呼吸系统]