在家用呼吸道多重检查,以检测超状部分喉切除术后阻塞性睡眠呼吸暂停综合征
Rosa Hernández-Sandemetrio1, Natsuki Oishi1, Tomás Chavero2
1ENT Department, University General Hospital of Valencia, Valencia School of Medicine, Valencia, Spain.
International archives of otorhinolaryngology
|January 24, 2025
概括
尽管缺乏自我报告的症状,但Supracricoid部分喉切除术患者通常会发展出阻塞性睡眠呼吸暂停综合征 (OSAS). 建议在手术后早期检测OSAS时进行呼吸道多重检测.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 睡眠医学 睡眠医学
- 在瘤学瘤学.
背景情况:
- 超皮部分喉切除术在晚期癌症中保留了喉功能,但可能导致阻塞性睡眠呼吸暂停综合征 (OSAS).
- 喉切除术后的OSAS可能会因为缺乏患者报告的症状而被忽视.
- 呼吸道多重检测为OSAS诊断提供了一个便携且准确的多重睡眠学替代方案.
研究的目的:
- 为了评估在接受过超状部分喉腔切除术的患者的呼吸多字检测结果.
- 为了确定这个患者队列中OSAS的流行率.
主要方法:
- 一个案例系列研究涉及13名患者,这些患者进行了超状部分喉切除术.
- 收集的数据包括年龄,手术细节,BMI,心血管风险因素,爱普沃思得分和呼吸暂停-呼吸暂停指数 (AHI).
- 呼吸道测谎仪被用于OSAS诊断.
主要成果:
- 在13名男性患者 (平均年龄62岁) 中,有77%患有OSAS.
- OSAS的严重程度各不相同:1个严重,6个中度,3个轻度,3个简单的打.
- 只有23%的患者报告白天嗜睡,突出了客观发现和主观症状之间的脱节.
结论:
- 经过超状部分喉切除术的患者经常有未诊断的OSAS,即使没有典型的症状.
- 呼吸透析是手术后系统性OSAS查的一个有价值的工具.
- 建议在脱后进行例行测谎,以防止错过的OSAS诊断.
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