通过标准推工具对阻塞性睡眠呼吸暂停的查及其相关并发症在东印度手术人口的一个子集:一项观察性研究
Anisha Ghosh1, Sugata Dasgupta2, Arpita Choudhury3
1Junior Consultant, Department of Anesthesiology, Medica Manipal Hospital, Mukundapur, Kolkata, West Bengal, India.
The Journal of the Association of Physicians of India
|April 9, 2025
概括
阻塞性睡眠呼吸暂停/呼吸暂停综合征 (OSAHS) 在手术患者中很常见. 结合STOP-Bang和PSAP查工具,提供了最灵敏和最方便的OSAHS检测方法.
科学领域:
- 麻醉学 麻醉学
- 睡眠医学 睡眠医学
- 手术患者护理手术患者护理
背景情况:
- 阻塞性睡眠呼吸暂停/睡眠暂停综合征 (OSAHS) 经常被诊断不足.
- 患有OSAHS的患者经常经历长时间住院和并发症.
- 及时的OSAHS诊断对于预防不良外科结果至关重要.
研究的目的:
- 为了确定在接受手术的患者中OSAHS的流行率.
- 为了比较各种OSAHS查工具的灵敏度.
- 确定用于OSAHS检测的查工具最有效的组合.
主要方法:
- 对527名手术患者进行前性观察性研究.
- 使用柏林问卷,STOP-Bang,ASA检查清单和PSAP评分进行OSAHS查.
- 对灵敏度进行评估的单个和组合工具性能.
主要成果:
- STOP-Bang和PSAP查工具的组合显示了对OSAHS检测的高灵敏度.
- 仅PSAP得分就显示了最高的个体选工具灵敏度.
- 同时使用四种工具确定了最大数量的OSAHS病例 (74.95%).
结论:
- 在手术患者中,OSAHS是一种常见的并发症.
- STOP-Bang和PSAP的组合是OSAHS查的一个高度敏感和实用的方法.
- 这种综合方法有助于优化手术前的患者护理和手术规划.
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