重度阻塞性睡眠呼吸暂停低通气综合征患者的围手术期处理

目的：探讨重度阻塞性睡眠呼吸暂停低通气综合征围手术期的处理。方法：对1994年7月至2006年4月全身麻醉下手术的452例重度阻塞性睡眠呼吸暂停低通气综合征患者的围手术期处理进行了回顾性分析。结果：356例术后出现暂时性腭咽闭合不全，7～30d后恢复；27例手术后出现原发性出血，11例出现继发性出血。结论：重度阻塞性睡眠呼吸暂停低通气综合征的围手术期处理很重要，对合并全身疾病的患者，除了内科处理以外，术前持续气道正压通气治疗、气管切开术，术中监护、用药，手术后重症监护病房监护，均是防止发生严重并发症的关键。

Peri-operative treatment of patients with severe obstructive sleep apnea hypopnea syndrome

Objective: To explore the peri-operative treatment of patients with severe obstructive sleep apnea hypopnea syndrome(OSAHS). Method: The data of peri-operative treatment of 452 patients with severe OSAHS receiving general anesthesia surgery from July 1994 to April 2006 were retrospectively analyzed. Result: 356 patients suffered from temporary velopharyngeal inadequacy and recovered 7 to 30 days later, 27 suffered from primary hemorrhage and 11 suffered from secondary hemorrhage. Conclusion: Peri-operative treatment, in addition to medicine, positive airway pressure therapy or tracheotomy and peri-control of sleep and blood pressure are all beneficial for patients with severe OSAHS.