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对于阻塞性睡眠呼吸暂停的门诊手术的安全性:回顾性审查

Dylan Gregory Bertoni¹, Emily Garvey¹, Neha Garg¹

¹Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery

|March 1, 2024

概括

阻塞性睡眠呼吸暂停的门诊睡眠手术通常是安全的,但建议密切监测. 患有严重呼吸暂停或并发症的患者可能会在手术后从一夜间的观察中受益.

科学领域:

耳鼻喉科耳鼻喉科耳鼻喉科
睡眠医学睡眠医学
外科手术的安全性

背景情况:

阻塞性睡眠呼吸暂停 (OSA) 显著影响患者的健康和生活质量.
对于OSA的外科干预越来越多地在门诊环境中进行.
评估这些程序的安全性对于患者护理指南至关重要.

研究的目的:

为了评估门诊手术对阻塞性睡眠呼吸暂停的安全性和结果.
在接受门诊睡眠手术的患者中识别不良事件的危险因素.

主要方法:

在2017年至2022年期间,对601名接受睡眠手术的患者进行了回顾性图表审查.
收集的数据包括人口统计,并发症,呼吸暂停-呼吸暂停指数 (AHI) 和手术程序.
评估结果:CPAP重新启动,术后入院,急救诊所,并在7天和14天内重新入院.

主要成果:

总的来说,门诊睡眠手术的不良事件率很低 (入院,急救诊所,再入院的病例为1-4%).
扩张性膜整形 (ESP) 与更高的计划入院率,计划外入院率,ED呈现率和再入院率有关.
在单一和多重手术组之间没有发现显著的人口或临床差异.

结论:

阻塞性睡眠呼吸暂停的门诊手术通常是安全的.
建议对术后进行密切监测.
对于患有非常严重的OSA,显著的并发症或长途旅行的患者,可能需要进行一夜间观察.

关键词:

阻塞性睡眠呼吸暂停 (SOP) 的情况.门诊外科手术门诊外科手术在安全方面,安全是安全的.

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