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总结22例阻塞性睡眠呼吸暂停低通气综合征患者行Repose骨螺钉舌根、舌骨悬吊术联合悬雍垂腭咽成形术+舌根射频消融术的护理经验。手术前加强心理护理,合理安排病房和疏导其他病友,减轻患者的自卑感;术后重点观察血压和血氧饱和度、创面出血情况、舌体的运动和感觉功能、睡眠情况等;加强气管插管护理、疼痛护理和应用镇静剂护理;给予合理饮食的指导。所有患者在手术后3～6个月复查多导睡眠呼吸监测,结果:显效7例,有效11例,无效4例;手术后3～6个月复查CT显示腭咽平面、舌咽腔截面积较手术前明显扩大。
Summary 22 cases of obstructive sleep apnea-hypopnea syndrome patients with Repose bone screw tongue, hyoid suspension surgery combined with uvulopalatopharyngoplasty + tongue radiofrequency ablation nursing experience. Strengthen the psychological care before surgery, reasonable ward and divert other patients to reduce the patient’s inferiority; postoperative focus on blood pressure and oxygen saturation, wound bleeding, tongue movement and sensory function, sleep, etc .; to strengthen the tracheal plug Tube care, pain care and application of sedatives; give a reasonable diet guidance. All patients were reviewed for polysomnography 3 to 6 months after surgery. Results: 7 cases were markedly effective, 11 cases were effective, and 4 cases were ineffective. The CT findings of velopharyngeal and lingual pharyngeal cavity Significantly larger than before surgery.