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中国临床药理学与治疗学 ›› 2026, Vol. 31 ›› Issue (2): 265-271.doi: 10.12092/j.issn.1009-2501.2026.02.014

• 综述与讲座 • 上一篇    下一篇

阻塞性睡眠呼吸暂停患者上气道手术围手术期管理研究进展

严婧(), 罗爱林, 李世勇()   

  1. 华中科技大学同济医学院附属同济医院麻醉科、老年麻醉与围术期健康湖北省重点实验室、武汉市老年麻醉临床医学研究中心,武汉 430030,湖北
  • 收稿日期:2024-11-19 修回日期:2025-08-22 出版日期:2026-02-26 发布日期:2026-03-17
  • 通讯作者: 李世勇 E-mail:yanjing@tjh.tjmu.edu.cn;shiyongli@hust.edu.cn
  • 作者简介:严婧,女,博士,主治医师,研究方向:围手术期认知障碍机制。E-mail:yanjing@tjh.tjmu.edu.cn
  • 基金资助:
    国家重点研发计划(2020YFC2009002);国家自然科学基金(82371208;82301378);湖北省自然科学基金(2022CFB189)

Research progress on perioperative management of adult patients with obstructive sleep apnea undergoing upper airway surgery

Jing YAN(), Ailin LUO, Shiyong LI()   

  1. Department of Anesthesiology and Pain Medicine, Hubei Key Laboratory of Geriatric Anesthesia and Perioperative Brain Health, and Wuhan Clinical Research Center for Geriatric Anesthesia, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, Hubei, China
  • Received:2024-11-19 Revised:2025-08-22 Online:2026-02-26 Published:2026-03-17
  • Contact: Shiyong LI E-mail:yanjing@tjh.tjmu.edu.cn;shiyongli@hust.edu.cn

摘要:

阻塞性睡眠呼吸暂停(obstructive sleep apnea,OSA)是最常见的睡眠相关呼吸障碍,以睡眠呼吸紊乱相关症状就诊,但多已合并心血管、呼吸、神经、代谢、内分泌等多系统的病变。其一线治疗手段是睡眠期间持续正压通气(CPAP);对于CPAP治疗失败的患者,上气道多平面手术是一种有效的替代治疗方案。本文根据已发表的文献、专家管理经验,对上气道手术术前评估、术中及术后管理等方面研究进展进行总结,为制定此手术患者围手术期管理方案提供参考,以期达到提高此类手术患者安全、促进其术后康复的目标。

关键词: 阻塞性睡眠呼吸暂停, 围手术期管理, 上气道手术, 气道管理, 气道正压通气

Abstract:

Obstructive sleep apnea (OSA) is the most common sleep-related breathing disorder, characterized by symptoms related to sleep breathing disturbances, but often comorbid with cardiovascular, respiratory, neurological, metabolic, endocrinic, and other multisystemic conditions. The first-line treatment is continuous positive airway pressure (CPAP) during sleep; for patients who fail CPAP therapy, multilevel's upper airway surgery is an effective alternative treatment option. In the present review, we summarized the progress in preoperative preparation and intraoperative and postoperative management of upper airway surgery based on published literature and expert management experience, especially focusing on the key aspects of perioperative management of upper airway surgery, with the aim of improving perioperative safety and promoting patient recovery.

Key words: obstructive sleep apnea, perioperative care, upper airway surgery, airway management, positive airway pressure ventilation

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