关键词: 悬雍垂/外科学;腭/外科学;咽/外科学;睡眠呼吸暂停综合征;低血压，控制;血压

    摘 要:目的 探讨控制性降压应用于悬雍垂腭咽成形术(UPPP)中的意义. 方法 100例阻塞性睡眠呼吸暂停综合征(OSAS)患者随机分为两组，对照组采用静吸复合全麻，降压组(IH)采用控制性降压全麻. 结果 血液稀释下，IH组术中平均动脉压(MAP)、心率(HR)均较对照组明显降低(P<0.05or P<0.01)，而对照组术中MAP，HR维持在高水平，且波动幅度较大;IH组术野出血量较对照组显著减少(P<0.01)，手术时间明显缩短(P<0.05);IH组术野清晰度提高，方便术者操作，减轻手术创伤. 结论 初步认为:控制性降压应用于UPPP手术中安全、有效.

    Clinical research of induced hypotensive used in u┐vulopalaatopharyngoplasty(UPPP)

    WANG Chen ZHANG Ying-Min LIU Hui-Fen XIONG Dong-Fang LI Yang LU Zi-Hong

    1 Department of Anesthesia，

    2 Department of Neurol-ogy，Xijing Hospital，Fourth Military Medical Uni-versity，Xi'an710033，China

    Keywords:uvula/surgery;palate/surgery;pharynx/surgery;sleep apnea syndromes;hypotension，controlled;blood pressure

    Abstract:AIM To appreciate the meaning of induced hy-potension(IH)being used undergoing uvulopalato-pharyngo-plasty(UPPP).METHODS One hundred patients of ob-structive sleep apnea syndrome(OSAS)were randomly divid-ed into two groups(Control&IH).Introvenous-inhalational complexed anesthesia was used in Control and induced hypotensive general anesthesia was used in IH.RESULTS Under the condition of haemodilution ...... 婵″倹鐏夐幃銊ユ躬娴ｈ法鏁ら幍瀣簚缁涘绁︾憴鍫熸閺冪姵纭堕弻銉ф箙閹存牔绗呮潪钘夊弿閺傚浄绱濋崣顖濆厴閺勵垵顫﹂幖婊呭偍瀵洘鎼告径杈╂埂閳ユ粏娴嗛惍浣测偓婵撶礉鐠囬鍋ｉ崙璇茬潌楠炴洘娓舵稉瀣煙閻ㄥ嫧鈧粎鏁搁懘鎴犲閳ユ繃鍨ㄩ垾婊冨斧缂冩垿銆夐垾婵婎問闂傤喓鈧拷


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