影响阻塞性睡眠呼吸暂停综合征患者麻醉恢复情况因素分析  

Analysis of Factors Inf luencing Anesthesia Recovery in Patients With Obstructive Sleep Apnea Syndrome

作　　者：王楚婷 李加宾 WANG Chuting;LI Jiabin(Anesthesia Department, Zhangzhou Affiliated Hospital of Fujian Medical University, Zhangzhou Fujian 363000, China)

机构地区：[1]福建医科大学附属漳州市医院麻醉科,福建漳州363000

出　　处：《中国卫生标准管理》2017年第21期118-120,共3页China Health Standard Management

摘　　要：目的调查阻塞性睡眠呼吸暂停综合征患者全身麻醉术后在麻醉恢复室的停留时间及相关影响因素,为临床工作提供参考。方法对104例确诊阻塞性睡眠呼吸暂停综合征接受全身麻醉下行择期手术的患者,术后于麻醉恢复室的停留时间及相关因素进行调查分析。结果研究对象的麻醉复苏时间平均为(2.380±0.699)小时,相关影响因素按其作用程度大小分别为术后并发症(0.909)>身体质量指数(0.350)>困难气道(0.312)>OSA病情程度(0.214)。结论 (1)全身麻醉术后的阻塞性睡眠呼吸暂停综合征患者术后较为合适的复苏时间宜在2~3小时;(2)重视对肥胖患者及OSA患者的术前评估,以及困难气道的相应准备,以减少术后并发症。Objective This study is about the LOS(Length of Stay)and its relative factors of OSA(Obstructive Sleep Apnea)patients in PACU(Post Anesthesia Care Unit).Methods For104OSA patients after general anesthesia,the LOS and patients’condition in PACU were recorded.Results The average of LOS was(2.380±0.699)hours.Ranged by the degree of contribution,those respective variables were post-operative complication(0.909),body mass index(0.350),difficult airway(0.312)and OSA condition(0.214).Conclusion(1)After general anesthesia,patients with obstructive sleep apnea syndrome should be cared about two to three hours in PACU.(2)In order to reduce the incidence of postoperative complications,should pay more attention to preoperative assessment and the airway management of OSA patients.

关 键 词：阻塞性睡眠呼吸暂停综合征 麻醉恢复室监护 停留时间 

分 类 号：R614[医药卫生—麻醉学]