整形手术在睡眠期间对呼吸功能的影响:一项前性的纵向研究
Magnus Ahl1,2, Agneta Marcusson3, Anders Magnusson1,4
1Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.
Orthodontics & craniofacial research
|June 28, 2024
概括
整形手术具有引起阻塞性睡眠呼吸暂停 (OSA) 的低风险. 在没有先前OSA的患者中,手术后呼吸功能基本保持不变,这表明安全性.
科学领域:
- 整形手术 整形手术 整形手术
- 睡眠医学 睡眠医学
- 呼吸系统生理学 呼吸系统生理学
背景情况:
- 整形手术可以改变上呼吸道软组织,可能增加阻塞性睡眠呼吸暂停 (OSA) 的风险.
- 接受下部逆转手术的患者特别容易受到阳性气道阻塞的影响.
研究的目的:
- 为了评估发生阻塞性睡眠呼吸暂停 (OSA) 的风险,在整形手术后.
- 为了评估手术后呼吸功能和气道参数的变化.
主要方法:
- 没有先前OSA诊断的62名患者接受了家庭心肺呼吸学多重检测.
- 在手术前和手术后3个月和1年,对呼吸功能进行了监测.
- 通过使用3D计算机断层扫描来量化手术位移.
主要成果:
- 在呼吸系统参数中观察到轻微的变化,包括呼吸暂停-呼吸暂停指数 (AHI) 和氧和指数 (ODI).
- 没有发现手术位移和AHI,躺卧的AHI (AHIsup) 或ODI之间有显著的相关性.
- 在前下垂直移位和打指数之间存在微弱但显著的相关性.
结论:
- 在没有先前存在的OSA的患者中,骨架手术似乎具有较低的阳性上呼吸道阻塞风险.
- 呼吸功能监测表明,手术后的气道参数稳定.
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