在鼻外科手术后,与阻塞性睡眠呼吸暂停相关的并发症的短期风险
Nrusheel Kattar1, Dylan A Levy2, Edward D McCoul1,2,3,4
1Department of Otolaryngology-Head and Neck Surgery, LSU Health Shreveport, Shreveport, LA.
Ochsner journal
|December 17, 2025
概括
接受鼻手术的阻塞性睡眠呼吸暂停 (OSA) 患者面临更高的意外入院风险. OSA患者在手术后也需要更多的补充氧气,特别是在口腔喉手术后.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 睡眠医学 睡眠医学
- 麻醉学 麻醉学
背景情况:
- 鼻外科手术可能会增加阻塞性睡眠呼吸暂停 (OSA) 患者的空气流阻力,危及呼吸道崩.
- 患有OSA的患者可能会在鼻腔外科手术后出现呼吸道并发症的增加.
研究的目的:
- 测试假设,接受鼻外科手术的OSA患者有更高的无计划术后入院率和呼吸道并发症.
- 为了在各种手术过程中比较OSA患者和非OSA患者的术后结果.
主要方法:
- 从2013年1月到2020年12月,对11,951名年龄≥18岁的患者 (17,373次手术) 进行了回顾性队列研究.
- 对手术前OSA诊断的患者和未经手术前OSA诊断的患者进行鼻腔,口腔喉,喉,耳腔,旋转手套和 inguinal hernia 手术的比较.
- 结果变量包括意外入院,呼吸道并发症和补充氧气需求.
主要成果:
- 与非OSA患者相比,接受鼻腔外科手术的OSA患者的计划外入院风险高3.12倍.
- 在所有手术组中,OSA患者更频繁地需要补充氧气.
- 在OSA患者的口腔喉手术后,氧气不和是最常见的 (RR 1.95).
结论:
- 接受鼻外科手术的OSA患者面临着意外入院的风险显著增加.
- 接受口腔大手术的OSA患者患有术后氧气不和的风险增加.
- 在各种外科手术后,OSA与更高的补充氧气需求发生率有关.
关键词:
在手术期间出现的并发症.进行鼻腔外科手术.术后并发症 术后并发症呼吸道功能不充分的情况.睡眠呼吸暂停阻塞性呼吸暂停外科手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术更多相关视频
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