论文部分内容阅读
[目的]探讨重症阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者行(UPPP)手术前气管切开对患者术后严重并发症的预防作用及疗效情况。[方法]分析某院收治的73例重症OSAHS患者,将其分为术前气管切开组和非气管切开组,分析两组患者手术并发症的发生情况及总有效率。[结果]术前气管切开组并发症发生率显著低于非术前气管切开组,两组患者进行6个月及12个月的术后跟踪,最低SaO2、AHI两项指标显示总有效率两组间无明显差异。[结论]对于重症OSAHS患者的治疗,术前气管切开是预防术后严重并发症的有效措施,对确保手术的安全性十分必要。术前气管切开不影响手术疗效。
[Objective] To investigate the preventive effect and curative effect of tracheotomy on serious postoperative complications in patients with severe obstructive sleep apnea-hypopnea syndrome (OSAHS) before and after operation. [Methods] A total of 73 patients with severe OSAHS treated in a hospital were analyzed and divided into preoperative tracheostomy group and non-tracheotomy group. The incidence of complications and total effective rate in both groups were analyzed. [Results] The incidence of complications in preoperative tracheotomy group was significantly lower than that in non-preoperative tracheotomy group. Both groups were followed up for 6 months and 12 months. The lowest SaO2 and AHI indexes showed that there were No significant difference in efficiency between the two groups. [Conclusion] Preoperative tracheotomy is an effective measure to prevent severe postoperative complications in patients with severe OSAHS. It is necessary to ensure the safety of surgery. Preoperative tracheostomy does not affect the surgical efficacy.