摘要
摘要 目的：比较普通固定压力（ Continuous Positive Airway Pressure ， CPAP ）、双水平气道正压（ Bi-level Positive Airway Pressure ， Bi PAP ），又叫双水平气道正压通气，在阻塞性睡眠呼吸暂停低通气综合征（ Obstructive Sleep Apnea Hypopnea Syndrome ， OSAHS ）围手术期中的应用价值。方法：选取 2017 年 4 月至 2018 年 2 月我院重症医学科收治的伴 OSAHS 患者 60 例，随机分为观察组和对照组，每组 30 例。其中对照组固定正压通气，双水平正压通气。结果：观察组术前通气时间、术后通气时间与二氧化碳潴留、不良事件合计发生率低于对照组，差异有统计学意义（ P <0.05 ）。结论：重症 OSAHS 患者围手术期使用双水平正压通气获益更好。
关键词 围手术期 ; 持续正压通气 ; 重症阻塞性睡眠呼吸暂停综合组
Objective: To compare the value of continuous Positive Airway Pressure (CPAP), Bi-level Positive Airway Pressure (Bi PAP), or Bi-level Positive Airway Pressure (Bi PAP), in the perioperative period of Obstructive Sleep Apnea Hypopnea Syndrome (OSAHS). METHODS: 60 patients with OSAHS admitted to our hospital from April 2017 to February 2018 were randomly divided into observation group and control group, 30 cases in each group. Fixed positive pressure ventilation and bi-level positive pressure ventilation were used in the control group. Results: The total incidence of preoperative ventilation time, postoperative ventilation time, carbon dioxide retention and adverse events in the observation group was lower than that in the control group, and the difference was statistically significant (P < 0.05). CONCLUSION: Bi-level positive pressure ventilation is better for severe OSAHS patients during perioperative period.
出版日期
2019年01月11日（中国期刊网平台首次上网日期，不代表论文的发表时间）
