Yang Shuangshuang, Wei Yi, Zhang Puwen, Ba Yunpeng
Department of Rhinology，the First Affiliated Hospital of Zhengzhou University，Zhengzhou，450052，China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2021 Apr;35(4):302-305. doi: 10.13201/j.issn.2096-7993.2021.04.004.
To evaluate the perioperative airway management process of nasal endoscopic surgery, and find clinical evidence for accelerating recovery and reducing respiratory complications. The perioperative airway management process for nasal endoscopic surgery was developed according to the patient's preoperative risk factors and preoperative pulmonary function. 512 patients who entered the airway management process from March 2019 to May 2020 were included. The improvement of pulmonary function and the occurrence of adverse respiratory events during the perioperative period were analyzed. 265 of 512 patients showed abnormal pulmonary function, including 203 cases with ventilatory dysfunction; 103 cases with positive bronchial provocation test; 59 cases with positive bronchodilation test. Patients with abnormal lung function were treated with aerosol inhalation for 3 to 5 days before surgery, the pulmonary function indicators were greatly improved（<0.01）. After individualized airway management, patients were then treated with surgery, and there was no perioperative dyspnea event. Perioperative airway management can improve pulmonary function and reduce the risk of nasal endoscopic surgery.
评估鼻内镜手术围手术期气道管理过程，寻找加速康复和减少呼吸并发症的临床证据。根据患者术前危险因素和术前肺功能制定鼻内镜手术围手术期气道管理流程。纳入2019年3月至2020年5月进入气道管理流程的512例患者。分析围手术期肺功能改善情况及不良呼吸事件的发生情况。512例患者中265例肺功能异常，其中通气功能障碍203例；支气管激发试验阳性103例；支气管舒张试验阳性59例。肺功能异常患者术前给予雾化吸入治疗3至5天，肺功能指标明显改善（<0.01）。经个体化气道管理后，患者再行手术治疗，围手术期无呼吸困难事件发生。围手术期气道管理可改善肺功能，降低鼻内镜手术风险。
