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首页> 外文期刊>Journal of Cranio-Maxillofacial Surgery >Perioperative safety and complications in treatment of oral and maxillofacial surgery patients under general anesthesia with obstructive sleeping disorders
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Perioperative safety and complications in treatment of oral and maxillofacial surgery patients under general anesthesia with obstructive sleeping disorders

机译:围手术期安全和并发症治疗口腔和颌面外科患者的全身麻醉,阻塞性睡眠障碍

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摘要

Patients with sleeping disorders, such as obstructive sleep apnea, (OSA) have a higher risk for postoperative complications after maxillofacial surgery under general anesthesia. The aim of this study was to detect specific complications after oral and maxillofacial surgery.Sixty-nine cases of patients with middle or severe sleep apnea who underwent an operation under general anesthesia in the oral and maxillofacial region were retrospectively analyzed. This group was compared with an age and diagnosis matched group without sleep apnea receiving the same operative treatment.We found a significant difference between the two groups concerning body mass index, the ASA-Index, the Cormack-Mallampati Index, the number of pre-existing conditions, and home medication (p?
机译:患有睡眠障碍的患者,如阻塞性睡眠呼吸暂停(OSA)在全身麻醉下颌面外科术后术后并发症的风险较高。本研究的目的是检测口腔和颌面外科后的特定并发症。回顾性分析了在口腔和颌面区域的全身麻醉下进行的中间或严重睡眠呼吸暂停患者的兴奋剂患者。该组与年龄和诊断匹配组进行比较,没有睡眠呼吸暂停接收相同的操作治疗。我们发现两组关于体重指数,ASA指数,Cormack-Mallampati指数的两组之间存在显着差异,预先现有条件和家庭用药(P?<?0.05)。关于保持长度,估计平均住院时间长度,以及手术并发症和高渗事件的数量,可以检测到差异。即使在重症监护期间,近28%的OSA患者患有大量呼吸道并发症。对照组的氧去饱和患者的数量为9%,其在OSA组中所述患者的数量显着不同(p?= 0.0093)。在本研究中,我们已经表明,患者中的OSA存在正在接受选修颌面外科手术与术后期间有相当数量的合并症有关。通过术前OSA筛选和OSA评估,可以实现监测资源管理的改善,并且可以更准确地评估OSA特定风险。

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