Children with obstructive sleep apnea-hypopnea syndrome in perioperative nursing.docVIP

 PAGE \* MERGEFORMAT 13 Children with obstructive sleep apnea-hypopnea syndrome in perioperative nursing 【Key Words】 children with obstructive sleep apnea-hypopnea syndrome Perioperative nursing Children with obstructive sleep apnea-hypopnea syndrome (OSAHS) is the leading cause of adenoids and palatine tonsil hypertrophy of the upper respiratory tract obstruction, so removal of hypertrophy of adenoids and palatine tonsil is the main treatment of children with OSAHS treatment. In view of palatine tonsil in childhood involvement with the body’s immune processes that were entirely cut may affect children’s immune function; traditional adenoidectomy France and electric excision excision is not complete and there are potential disadvantages such as bleeding. Either to improve the ventilation function, without loss of immune function in children with and control bleeding, since the beginning of 2004, the undergraduate part of the palatine tonsil with CO2 laser excision (CLTT) low-temperature plasma combined endoscopic radiofrequency ablation adenoidectomy A total of 126 cases treated, efficacy satisfied, now nursing intervention reported as follows. A clinical data 1.1 General information on a total of 126 cases of this group of patients, of which 83 cases of male and female 43 cases; aged 3 to 14 years of age; course of 3 months to 10 years. Sleep, severe snoring, breath holding, mouth breathing, nasal speech with emphasis on 87 cases, 73 cases of dysphagia, obesity in 65 cases, 46 cases of adenoid face. Endoscopic diagnosis of adenoid hypertrophy [1]: Ⅲ ° 65 Li, Ⅳ ° 61 cases; palatine tonsil hypertrophy: Ⅱ ° 52 Li, Ⅲ ° 74 Li. The week before surgery Turbidimetric Determination of blood immunoglobulins G, A, M levels were within normal range. OSAHS diagnostic criteria according to children’s apnea hypopnea index (apnea hyppnea index, AHI) ≥ 5 times / h for the mild, AHI ≥ 10 times / h for the moderate, AHI ≥ 20 times / h was severe [2], The