Obstructive sleep apnea syndrome patient in the perioperative care.docVIP

 PAGE \* MERGEFORMAT 10 Obstructive sleep apnea syndrome patient in the perioperative care [Keywords:] Obstructive sleep apnea syndrome; uvulopalatopharyngoplasty; Care Obstructive sleep apnea hypopnea syndrome (OSAHS) is the collapse of upper airway obstruction during sleep induced apnea, hypoventilation, such as respiratory disorders and lead to a series of pathophysiological changes of body symptoms. Uvula, uvulopalatopharyngoplasty (UPPP) is by expanding the pharynx, lower airway resistance, increased ventilation, can significantly reduce the airway obstruction or apnea, effective in improving oxygen saturation, to improve the quality of life of patients [1], is the most effective treatment of OSAHS one of the means [2]. I Division in the 20004 to 2009 on October 5 menstrual uvulopalatopharyngoplasty 91 patients were treated with surgery and no complications occurred in 1 case, the effect is satisfactory, nursing now reported as follows. 1 Clinical data The group of 91 patients, 80 patients were male and 11 female, aged 70 years maximum, minimum of 19 years, average 37 years, of which 81 cases from 19 to 45 years old, 46 to 70 years in 10 cases. The longest duration of 28 years, the shortest 1 year, an average of 9 years. All patients had typical symptoms of OSAHS, such as snoring, apnea, apnea, and other clinical manifestations, by polysomnography (PSG) monitoring confirmed. 7h all night monitoring of sleep apnea meet diagnostic criteria for OSAHS , AHI 15 to 70, the lowest oxygen saturation was 50% and 80% are in line with OSAHS patients in this group the surgical indications, all using low temperature plasma assisted anesthesia down uvulopalatopharyngoplasty surgery. 2 Care 2.1 Preoperative Care 2.1.1 snoring at night in patients with major psychological care, sleep disorders, leading to daytime sleepiness, low efficiency, effectiveness and safety of operation are skeptical, there are varying degrees of anxiety, tension, fear. Surger