阻塞性睡眠呼吸暂停低通气综合征患者围手术期护理.pdfVIP

42 现代临床护理(Modem Clinical Nursing)2008．7(2) 阻塞性睡眠呼吸暂停低通气综合征患者围手术期护理 刘琅梅。杨小玲 (湖南永州职业技术学院附属医院，湖南永州，425006) [摘要] 目的 总结阻塞性睡眠呼吸暂停低通气综合征(OSAHS)围手术期护理要点。方法 对35例阻塞性睡眠呼吸暂 停低通气综合征患者行悬雍垂腭咽成形术+鼻部手术，术前对患者进行全面身心评估，解除思想顾虑，完善各项术前检查；术 后重点加强生命体征的观察，观察切口渗血情况，确保呼吸道通畅以及注意营养支持。结果 本组治愈20例(57．1％)，显效 10例(28．6％)，有效5例(14．3％)，无效0例，无护理并发症。结论 做好OSAHS患者围手术期护理，可帮助患者顺利完成手 术治疗，减轻患者术前焦虑和减少术后并发症的发生，有效地提高治疗效果。 [关键词] 阻塞性睡眠呼吸暂停低通气综合征；围手术期；护理 [中图分类号] R473．6 [文献标识码] B [文章编号] 1671—8283(2008)02—0042—03 [Abstract]Objective To summarize the points of nursing obstructive sleep apnea-hyponea(OSAHS)patients．Methods 35 OSAHS patients were treated by the uvulopalatopharyngoplastynasal suNery．Before OSAHS．metal and physical evaluations were conducted to them to solve their mental pro~ems。 Preoperative examinations were completed． After operation， the nursing points included observation of vital signs and bleeding at incision， keeping respiratory tract unobstructed and active nutrition support． Results 20 cases were cured(57．1％)，10 cases achieved significant effect(28．6％)，5 cases did effect(14_3％)，None was no effect． No complication occurred． Conclusion Perioperative nursing for the OSAHS patients Can help the operation successfully performed， and release the preoperative mlxiety and postoperative pains，reduce incidence of complications and increase the curative effect． [Key words]obstructive sleep apnea hypopnea syndrome；perioperation；nursing 阻塞性睡眠呼吸暂停低通气综合征(obstructive 25例，46 7O岁1O例。病程最长18年，最短1年， sleep apnea hypopnea syndrome，OSAHS)主要表现为 平均7年。 患者睡眠时上气道塌陷阻塞，频繁发生呼吸暂停和 1．2 临床表现 低通气，导致血氧饱和度下降，并伴有打鼾、白天嗜 全部患者均有睡后打鼾、呼吸暂停的表现，其 睡等症状[1]。悬雍垂腭咽成形术+鼻部手术是耳鼻喉 深浅度不一，8例患者有白天嗜睡、记忆力减退、晨 科近年开展起来的治疗OSAHS的新技术。由于术 起头晕、高血压、肥胖等。采用多导睡眠仪连续监测 后患者打鼾等症状能消失或明显改善，目前已被越 患者7h夜间睡眠呼