摘要
目的比较成人阻塞性睡眠呼吸暂停综合征(OSAS),全麻手术治疗即悬雍垂腭咽成形术(UPPP)与坐位局麻下行改良悬雍垂腭咽成形术优缺点。方法5年来,笔者对368例成年OSAS施行局麻坐位改良悬雍垂腭咽成形术,并对其进行术中术后并发症观察及术后效果回访。结果多导睡眠图(PSG)分析显示,术前、后血氧饱和度有明显不同(P<0.05),睡眠结构明显改变,呼吸暂停消失。无术中、术后并发症。结论坐位局麻下手术要优于传统全麻手术治疗,坐位局麻下悬雍腭成形术是可行的。
Objective To study the differences between conventional total-ansethetic uvulopalatophar-yngoplasty（UPPP） operation, i.e., the therapy of obstructive sleep apnea syndrome（OSAS）, and the improved UPPP for OSAS under local-anesthetic, sitting and awaking state.Method The 368 cases had been subjected to improved UPPP in recent 5 years,and received investigation of post-operative effects and observation of complication during and after the operation.Results PSG showed that there were significant differences in blood oxygen saturation between pre- and post- operaton（P〈0.05）,sleep structure was distinct changed; After operation apnea disappreared. No complication was found during and after operation.Conclusion Operation under local anesthesia and sitting state is better than the conventional one with general anesthesia for OSAS.
出处
《实用医药杂志》
2007年第7期807-808,共2页
Practical Journal of Medicine & Pharmacy
