肥胖患者接受减重手术围手术期的呼吸护理：对临床实践的启示
Perioperative respiratory care in obese patients undergoing bariatric surgery: Implications for clinical practice.
作者信息
Pouwels Sjaak, Smeenk Frank W J M, Manschot Loes, Lascaris Bianca, Nienhuijs Simon, Bouwman R Arthur, Buise Marc P
机构信息
Department of Surgery, Catharina Hospital, Eindhoven, The Netherlands; Department of Epidemiology, CAPHRI Research School, Maastricht University, The Netherlands.
Department of Respiratory Medicine, Catharina Hospital, Eindhoven, The Netherlands; SHE School of Health Professions Education, Maastricht University, The Netherlands.
出版信息
Respir Med. 2016 Aug;117:73-80. doi: 10.1016/j.rmed.2016.06.004. Epub 2016 Jun 7.
Obesity is an increasing problem worldwide. The number of people with obesity doubled since the 1980's to affect an estimated 671 million people worldwide. Obese patients in general have an altered respiratory physiology and can have an impaired lung function, which leads to an increased risk of developing pulmonary complications during anaesthesia and after bariatric surgery (approximately 8%). Therefore the respiratory management of the bariatric surgical patient provides a number of challenges. This review will focus on the perioperative respiratory care in bariatric surgical patients discussing respiratory physiology in the obese and perioperative respiratory care in bariatric surgery. Finally the value of preoperative pulmonary function testing and preoperative OSAS screening will be discussed.
肥胖是一个在全球范围内日益严重的问题。自20世纪80年代以来，肥胖人数翻了一番，全球约有6.71亿人受其影响。肥胖患者的呼吸生理通常会发生改变，肺功能可能受损，这会导致在麻醉期间和减肥手术后发生肺部并发症的风险增加（约8%）。因此，肥胖手术患者的呼吸管理面临诸多挑战。本综述将聚焦于肥胖手术患者的围手术期呼吸护理，讨论肥胖患者的呼吸生理以及肥胖手术的围手术期呼吸护理。最后，还将讨论术前肺功能测试和术前阻塞性睡眠呼吸暂停综合征（OSAS）筛查的价值。
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