陈瑞玲 郭巧玲

摘要目的：探讨针对性护理在阻塞性睡眠呼吸暂停低通气综合征术后的实施效果。方法：选取2017年3月至2019年2月厦门大学附属第一医院收治的阻塞性睡眠呼吸暂停低通气综合征患者60例作为研究对象，按照入院时间分为观察组和对照组，每组30例。观察组进行针对性护理，对照组进行常规护理。比较2组术后出血情况、蒙特利尔认知功能测评量表（MoCA）评分及生命质量量表（WHOQOLBREF）评分。结果：2组患者术后出血率比较，差异无统计学意义（P>005）;观察组的MoCA各指標评分、WHOQOLBREF评分显著高于对照组，差异有统计学意义（P<005）。结论：针对性护理措施有助于阻塞性睡眠呼吸暂停低通气综合征术后生命质量及认知功能的提升，可预防出血率，值得临床推广应用。

关键词阻塞性睡眠呼吸暂停低通气综合征;针对性护理;生命质量;认知功能

Observation on the Effect of Targeted Nursing in the Patients with Obstructive Sleep Apnea Hypopnea Syndrome after Operation

CHEN Ruiling，GUO Qiaoling

（First Affiliated Hospital of Xiamen University，Xiamen 361000，China）

AbstractObjective：To explore the effect of targeted nursing in the patients with obstructive sleep apnea hypopnea syndrome after operationMethods：A total of 60 patients with obstructive sleep apneahypopnea syndrome in First Affiliated Hospital of Xiamen University from March 2017 to February 2019 were divided into observation group and control group with 30 cases in each group according to admission timeThen the postoperative bleeding rates，score of Montreal cognitive function assessment scale（MoCA）and quality of life scale（WHOQOLBREF）of two groups were comparedResults：The postoperative bleeding rate of two groups were compared，there was no statistically significant difference（P>005）;the scores of MoCA were significantly higher than those of control group，the WHOQOLBREF scores were significantly higher than those of control group，there were statistically significant differences（P<005）Conclusion：The targeted nursing measures is helpful for the improvement of quality of life and awareness of patients with obstructive sleep apneahypopnea syndrome after operation，and it can reduce the postoperative blood rate，so it is worthy of promotion.

KeywordsObstructive sleep apnea hypopnea syndrome;Targeted nursing; Quality of life;Cognitive function

中图分类号：R47376文献标识码：Adoi：10.3969/j.issn.2095-7130.2020.06.069

阻塞性睡眠呼吸暂停低通气综合征的临床常见病，对患者生命安全造成严重影响[12]。临床可根据患者病情、身体状况、气道阻塞部位等选取合适手术方式。术后实施合理有效的护理措施，可降低并发症，加快患者康复[3]。本次研究中给予观察组针对性护理干预，效果显著，现报道如下。

1资料与方法

11一般资料选取2017年3月至2019年2月厦门大学附属第一医院收治的阻塞性睡眠呼吸暂停低通气综合征患者60例作为研究对象，按照入院时间分为观察组和对照组，每组30例。观察组中男16例，女14例，年龄18～66岁，平均年龄（3712±325）岁，病程1～12年，平均病程（427±106）年。对照组中男19例，女11例，年龄19～67岁，平均年龄（3669±371）岁，病程1～15年，平均病程（436±112）年。一般资料经统计学分析，差异无统计学意义（P>005），具有可比性。

12纳入标准1）符合阻塞性睡眠呼吸暂停低通气综合诊断标准者;2）采用手术治疗患者;3）患者及其家属对本研究知情同意，且均签署知情同意书。