阻塞性睡眠呼吸暂停低通气综合征患者的系统化呼吸道护理  

Systematic Respiratory Nursing for Patient with Obstructive Sleep Apnea Hypopnea Syndrome

作　　者：朱红[1] 陈琰[1] 曹爽[1] 

机构地区：[1]南京军区南京总医院耳鼻咽喉科,江苏南京210002

出　　处：《解放军护理杂志》2014年第13期26-28,共3页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的探讨阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea hypopnea syndrome,OSAHS)患者系统化呼吸道护理方法。方法将2011年10月至2012年10月南京军区南京总医院收治的40例OSAHS患者作为观察组,实施系统化呼吸道护理,包括呼吸机使用护理、拔管护理、体位护理、疼痛护理、行为治疗护理等;将2010年7月至2011年10月南京军区南京总医院收治的40例OSAHS患者作为对照组,实施传统护理方法;比较两组患者不同阶段并发症、血氧饱和度<85%及术后半年呼吸暂停指数(apnea hypopnea index,AHI)的发生情况。结果观察组患者不同阶段并发症、血氧饱和度<85%及术后半年AHI的发生例数或次数均少于对照组,差异均有统计学意义(P<0.05或P<0.01)。结论实施系统化呼吸道护理,能有效提高OSAHS患者的手术成功率,减少术后并发症,提高护理质量。Objective To investigate the systematic respiratory nursing for patient with obstructive sleep apnea hypopnea syndrome（OSAHS）. Methods Experimental group..40 OSAHS patients from October 2011 to October 2012, with implementation of the different stages of airway care,including ventilator care extubation care, postural care, pain care, behavioral therapy care. Control group： retrospective analysis of routine traditional methods of care from July 2010 to October 2011 with 40 OSAHS patients.The incidence of complications in different stages,oxygen saturationS85 ~/~0 ,and AHI after half a year of the surgery of two groups were compared. Results Complications in different stages,oxygen saturation 〈 85 %, and inci- dence of AHI after half a year of the surgery in experimental group were less than control group（P〈0.05 or P〈0.01）. Conclusion The different phases of implementation system of respiratory nursing can effec- tively increase the success rate of the operation,reduce the postoperative complications,and improve the quality of nursing.

关 键 词：阻塞性睡眠呼吸暂停低通气综合征 呼吸暂停 行为治疗 呼吸机 呼吸道护理 

分 类 号：R563.8[医药卫生—呼吸系统]