阻塞性睡眠呼吸暂停预测因素与插管困难的关系。
The relationship between the predictors of obstructive sleep apnea and difficult intubation.
机构信息
Department of Anesthesiology and Pain Medicine, Busan St. Mary's Hospital, Busan, Korea.
出版信息
Korean J Anesthesiol. 2011 Mar;60(3):173-8. doi: 10.4097/kjae.2011.60.3.173. Epub 2011 Mar 30.
BACKGROUND
The study was performed in order to determine the risk factors for difficult tracheal intubation in obstructive sleep apnea patients.
METHODS
For 115 male patients with obstructive sleep apnea syndrome and who were undergoing palatal muscle resection (PMR), we investigated the correlation between their age, height, weight, body mass index (BMI), their Epworth Sleepiness Scale (ESS), their apnea-hypopnea index (AHI), their neck circumference and the difficulty of tracheal intubation.
RESULTS
The factors significantly related to difficult tracheal intubation in obstructive sleep apnea patients were a high AHI and a large neck circumference. There was no significant correlation between weight, BMI, arterial hypertension, ESS and difficult tracheal intubation in obstructive sleep apnea patients.
CONCLUSIONS
In this study, a high AHI and a large neck circumference can predict difficult tracheal intubation in obstructive sleep apnea patients.
背景
本研究旨在确定阻塞性睡眠呼吸暂停患者中气管插管困难的危险因素。
方法
对 115 例行悬雍垂腭咽成形术（PMR）的男性阻塞性睡眠呼吸暂停综合征患者，分析其年龄、身高、体重、体重指数（BMI）、Epworth 嗜睡量表（ESS）、呼吸暂停低通气指数（AHI）、颈围与气管插管困难的相关性。
结果
阻塞性睡眠呼吸暂停患者中与气管插管困难显著相关的因素是高 AHI 和大颈围。阻塞性睡眠呼吸暂停患者中，体重、BMI、动脉高血压、ESS 与气管插管困难无显著相关性。
结论
在本研究中，高 AHI 和大颈围可预测阻塞性睡眠呼吸暂停患者的气管插管困难。
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