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《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:

2002年第2期

页码:

145-148

栏目:

临床研究

出版日期:

2002-03-01

文章信息/Info

Title:

Application of hypotension general anesthesia in uvulopalatopharyngoplasty for the patients of obstructive sleeping apnea syndrome

作者:

汪　晨¹;  张英民¹;  熊东方¹;  李　扬¹;  路志红¹;  宗小娜²;  屈　涓²

第四军医大学西京医院: 1. 麻醉科, 2. 耳鼻喉科, 陕西 西安 710032

Author(s):

WANG Chen¹;  ZHANG Ying-min¹;  XIONG Dong-fang¹;  LI Yang¹;  LU Zhi-hong¹;  ZONG Xiao-na²;  QIU Juan²

1.Department of Anesthesia, 2.Department of Otorhhinolaryngology , Xijing Hospital. Fourth Military Medical University , X i’an Shaanxi 710032, China

关键词:

控制性降压全麻;  阻塞性睡眠呼吸暂停综合征;  悬雍垂腭咽成形术;  平均动脉压;  心率;  心电图

Keywords:

hypotension general anesthesia;  obstructive sleeping apnea syndrome;  uvulopalatopharyngoplasty; mean arterial pressure;  heart rate; electrocardiogram

分类号:

R563.9

DOI:

-

文献标识码:

A

摘要:

目的 探讨控制性降压全麻在阻塞性睡眠呼吸暂停综合征(OSAS) 患者悬雍垂腭咽成形术(UPPP) 中的意义及作用。方法 OSAS 患者随机分为对照组、观察组, 每组20名。对照组采用静吸复合全麻, 观察组为控制性降压全麻。结果 在充分扩容基础上, 观察组较对照组平均动脉压降低, HR 减慢(均P< 0.05) , 且部分患者ECG下移ST段恢复正常; 控制性降压术中出血量明显减少, 术野清晰, 术者满意度提高, 手术时间缩短, 麻醉并发症减少。结论 控制性降压全麻应用于UPPP 手术中安全、有效, 应予以推广。

Abstract:

AIM To find out the meaning and effect of hypotension general anesthesia (HGA) being used in uvulopalatopharyngoplasty(UPPP)for the patients of obstructive sleeping apnea syndrome ( OSAS ). METHODS The OSAS s patients were randomly divided into two groups [ Control & IG(Investigation group )], which had 20 patients in each one. The introvenous-inhalational complexed anesthesia was used in Control, However, HGA was used in IG. RESULTS Depending upon the enlarged fluid sufficiently, The MAP and HR intro-operative in IG were significantly less than those in Control (P < 0. 05) , The descended S-T segment of certain patients in IG was recovered to normal. Due to blood loss being decreased by HGA in IG, More clearer was operative view , More satisfied were the ENT’s surgeons, More shorten was the operative time, and the complication of anesthesia were also reduced. CONCLUSION Hypotension general anesthesia is safe and available to be used in UPPP. It would be recommendated.

参考文献/References

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备注/Memo

备注/Memo:

收稿日期：2001-08-25.

常用功能

更新日期/Last Update: 2002-03-01