阻塞性睡眠呼吸暂停对术后结果的影响
Nicole Hersch1, Samira Girgis1, Guy Barrington Marks1,2
1Respiratory and Sleep Medicine Department, Liverpool Hospital, Sydney, New South Wales, Australia.
在这项研究中,未被识别的阻塞性睡眠呼吸暂停 (OSA) 并没有增加手术后并发症. 改进的手术和麻醉护理可能会降低OSA患者的风险.
科学领域:
- 麻醉学 麻醉学
- 心脏病学 心脏病学
- 肺部病理学 肺部病理学
- 睡眠医学 睡眠医学
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 与不良心肺呼吸系统结果有关.
- 目前的术后管理可能会改变OSA对术后并发症的影响.
研究的目的:
- 调查阻塞性睡眠呼吸暂停 (OSA) 与外科手术期间心肺呼吸道并发症之间的关联.
- 评估OSA是否仍然是当代手术环境中的重要风险因素.
主要方法:
- 一项对356名接受选择性手术的患者的队列研究.
- 使用睡眠监测器诊断的阻塞性睡眠呼吸暂停 (OSA).
- 临床团队评估的并发症,包括心肌梗塞,心律失常和呼吸衰竭.
主要成果:
- 281名患者 (79%) 患有OSA;66人 (19%) 患有严重的OSA.
- 患有和没有OSA的患者之间的并发症率没有显著差异 (5.7%对2.7%).
- 严重的OSA也与增加的并发症发生率无关.
结论:
- 在这个队列中,未被识别的阻塞性睡眠呼吸暂停 (OSA) 与心肺呼吸系统并发症的增加无关.
- 改进的外科手术技术,疼痛管理和OSA意识可能会降低术后风险.
- 为了优化外科手术期间的护理,需要在不同手术群体中对严重的OSA进行进一步的研究.
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