张慕冰：女,大专,主管护师

※五官科护理

阻塞性睡眠呼吸暂停低通气综合征患者实施气道正压通气的护理

张慕冰林佳伟李创伟

摘要目的：探讨阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者实施气道正压通气治疗的护理效果。方法：选择我科2013年1月~2014年6月收治的OSAHS的轻、中、重度患者42例为研究对象，给予实施针对性的健康宣教、症状与心理护理及并发症护理等优质护理干预。结果：护理干预后，患者主观症状、嗜睡症状、生活质量、症状维度总体改善。结论：对OSAHS患者采取相应的优质护理干预，可明显缓解患者有关症状，改善患者的生活方式，其体重指数、症状和部分生活质量得到改善，自护意识大大提高。

关键词阻塞性睡眠呼吸暂停低通气综合征；健康教育；护理干预doi:10.3969/j.issn.1672-9676.2015.08.042

基金项目：汕头市科学技术局([2012]113-9 )

Nursing of obstructive sleep apnea syndrome in patients with airway positive pressure ventilation

ZHANG Mu-bing,LIN Jia-Wei,LI Chuang-wei(Shantou Central Hospital,Shantou515031)

AbstractObjective:To evaluate patients with obstructive sleep apnea hypoventilation syndrome (OSAHS) implementation of positive airway pressure treatment of high quality nursing intervention effect.Methods:From January 2013 to June 2014 OSAHS of 42 patients with light,medium and heavy as the research object,in addition to take general oral conventional nursing education,also the implementation of specific symptoms and psychological health education,nursing and complications such as high quality nursing intervention measures.More patients before and after the nursing intervention in health education knowledge mastery,breathing,blood oxygen saturation,body mass index,improve sleep quality,micro awakening and self-conscious symptom relief and other conditions change.Results:After nursing intervention,patients' subjective symptoms,sleepiness,quality of life,such as dimensions and overall improvement were better than that before treatment,the difference was statistically significant(P<0.05).Conclusion:Take appropriate high quality nursing intervention in patients with OSAHS,can obviously relieve patients about the symptoms,improve the patient's lifestyle,body mass index,symptom and part of its quality of life improved significantly,the guard consciousness is greatly increased.

Key wordsObstructive sleep apnea hypoventilation syndrome；Health education；Nursing intervention

阻塞性睡眠呼吸暂停低通气综合征(OSAHS)为一种常见疾病，是指患者在睡眠状态下，人体上气道塌陷阻塞所引起的通气不足与呼吸暂停现象。患者大多伴有睡眠结构紊乱、白天嗜睡、打鼾、血氧饱和度下降等综合表现[1]，可引起高血压、冠心病、内分泌系统、脑血管意外、男性性功能减退、精神异常、猝死等多系统并发症或生理改变，一般成人发病率为2%~4%。我科对收治的OSAHS的患者采取了持续气道正压通气(CPAP)治疗，并实施优质护理，效果满意，现报道如下。

1临床资料

1.1一般资料选取2013年1月～2014年6月在我科接受治疗确诊为轻、中、重度OSAHS的患者42例作为研究对象，男31例，女11例。年龄在20~62岁，平均(44.91±2.10)岁。……