达克里奥西斯托利诺斯托米术后的CPAP并发症:一个叙述性回顾
Arpan Sahoo1, Emily Kreibich1, Mark Tabor2
1University of South Florida Health Morsani College of Medicine, Tampa, Florida.
概括
连续使用正气道压力 (CPAP) 可以导致眼睛的并发症后,大克里奥西斯托里诺斯托米 (DCR) 手术. 干预措施存在,但许多患者仍然在DCR后的CPAP坚持下扎.
科学领域:
- 眼科医生 眼科 眼科
- 睡眠医学 睡眠医学
- 手术并发症 手术并发症
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 经常需要持续的正气道压力 (CPAP) 治疗.
- 为了缓解发而进行的乳囊鼻术 (DCR) 手术可能会导致随后使用CPAP的并发症.
研究的目的:
- 在DCR手术后的患者中审查CPAP使用的并发症.
- 评估在DCR之后管理CPAP相关问题的潜在干预措施.
主要方法:
- 在主要数据库 (PubMed,EMBASE,科学网,Scopus) 中进行了系统的文献搜索.
- 采用了叙事审查方法,因为这些研究主要以案例报告为主.
主要成果:
- 分析了14项涉及49名患者的研究.
- 在CPAP使用期间,眼空气反发生在77.6%的患者中.
- 干预措施包括CPAP口罩的更改,压力修改和眼科管理 (例如,眼塞,滑剂).
- 尽管进行了干预,但36.7%的患者由于持续的症状而停止CPAP治疗.
结论:
- 与CPAP相关的并发症很常见,并且在DCR后难以管理.
- 可以采用各种策略来改善CPAP的使用和DCR后患者的坚持.
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