肥胖患者围手术期呼吸管理重庆专家共识(2025版)  

Perioperative respiratory management in obese patients:Chongqing expert consensus(2025 edition)

作　　者：高进[1] 徐弋 GAO Jin;XU Yi(The First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学附属第一医院,重庆400016

出　　处：《重庆医学》2025年第3期561-566,572,共7页Chongqing Medical Journal

基　　金：重庆市自然科学基金重点项目(2024NSCQ-KJFZZDX0006);重庆市中青年医学高端人才工作室“加速肥胖患者术后肺康复”建设项目。

摘　　要：肥胖可导致呼吸系统生理结构和功能发生一系列病理性改变,对围手术期呼吸管理提出了更高的要求。重度肥胖患者术前常常合并阻塞性睡眠呼吸暂停(OSA)、低通气等呼吸系统疾病,术后肺部并发症(PPCs)风险较高,合理的围手术期呼吸管理能有效减少肥胖患者术后肺部并发症,促进其术后康复。该共识从术前呼吸功能评估与准备、术中通气管理、术后呼吸支持等方面,对肥胖患者围手术期呼吸管理的方案提出专家建议,旨在为临床实践提供参考和指导。Obesity leads to a series of pathological changes in the physiological structure and function of the respiratory system,posing more demanding requirements for perioperative respiratory management.Severely obese patients often have preexisting respiratory comorbidities such as obstructive sleep apnea(OSA)and hypoventilation;they are at higher risk of postoperative pulmonary complications(PPCs).Appropriate perioperative respiratory management effectively reduces PPCs and promotes postoperative recovery in obese patients.This consensus puts forward expert recommendations on perioperative respiratory management strategies for obese patients,covering preoperative respiratory function assessment and preparation,intraoperative ventilation management,and postoperative respiratory support,aiming to provide reference and guidance for clinical practice.

关 键 词：肥胖 专家共识 围手术期 呼吸管理 

分 类 号：R614[医药卫生—麻醉学]