CAJ | 학술논문

目的探讨舌体消融、舌根牵引、舌骨悬吊等舌体手术对治疗阻塞性睡眠呼吸暂停综合征(OSAHS)的效果与手术护理要点.方法对41例行舌体手术联合悬雍垂腭咽成形术、硬腭截短术的OSAHS患者进行术前心理护理,做好术前准备；术后加强并发症的观察,重视功能训练和健康指导.观察患者术后并发症、血压及治疗效果.结果 41例患者术后均恢复良好,术前主诉症状明显好转.18例患者术后3个月呼吸紊乱指数由(56.2±19.3)下降至(18.4±17.3),血氧饱和度由(71.9±12.1)％上升至(81.9±7.01)％,差异均有统计学意义(t分别为2.5,7.6；P＜0.01).结论舌体手术治疗由于舌体肥大和舌后坠引起的舌后区阻塞的OSAHS患者是行之有效的,做好围手术期护理和术后功能训练是手术成功的重要保证.
목적 탐토설체소융、설근견인、설골현조등설체수술대치료조새성수면호흡잠정종합정(OSAHS)적효과여수술호리요점.방법 대41례행설체수술연합현옹수악인성형술、경악절단술적OSAHS환자진행술전심리호리,주호술전준비；술후가강병발증적관찰,중시공능훈련화건강지도.관찰환자술후병발증、혈압급치료효과.결과 41례환자술후균회복량호,술전주소증상명현호전.18례환자술후3개월호흡문란지수유(56.2±19.3)하강지(18.4±17.3),혈양포화도유(71.9±12.1)％상승지(81.9±7.01)％,차이균유통계학의의(t분별위2.5,7.6；P＜0.01).결론 설체수술치료유우설체비대화설후추인기적설후구조새적OSAHS환자시행지유효적,주호위수술기호리화술후공능훈련시수술성공적중요보증.
Objective To explore the effects of tongue surgery such as ablation of the tongue,tongue　traction,hyoid suspension on the patients with sleep apnea syndrome and its key nursing.Methods Totals of　forty-one patients with sleep apnea syndrome received uvulopalatopharyngoplasty surgery ( UPPP ) and hard　palate surgery were received preoperative psychological nursing and prepared preoperative preparation.Enhanced　the observation after surgery,and payed more attention to functional training and post-operative health guidance.and the complications,blood pressure and therapy effects were observed.Results Forty-one patients had well　recover.Three months later,18 patients' respiratory disturbance index was ( 18.4 ± 17.3 ) significantly lower　than(56.2 ± 19.3),and oxygen saturation was ( 81.9 ± 7.01 ) ％ significantly higher than (71.9 ± 12.1)％ ( P＜0.01 ).Conclusions The surgical treatment of tongue hypertrophy of the tongue and the tongue caused by　tongue fall zone blocking is effective for patients with OSAHS,and perioperative nursing and postoperative　functional training is very important for successful operation.