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首页> 外文期刊>The American journal of geriatric pharmacotherapy >Prevalence and Management of Obstructive Sleep Apnea in Patients Undergoing Total Joint Arthroplasty
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Prevalence and Management of Obstructive Sleep Apnea in Patients Undergoing Total Joint Arthroplasty

机译：全关节置换术患者阻塞性睡眠呼吸暂停的发生率和处理

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摘要

Obstructive sleep apnea (OSA) may be a risk factor for complications after total joint arthroplasty (TJA). We sought to determine the prevalence of OS A in patients undergoing TJA, and the safety and effectiveness of intrathecal narcotic (IN) in these patients. We retrospectively reviewed 1255 consecutive patients undergoing 1463 TJA at one hospital. All patients underwent routine screening for OSA and IN anesthesia, with 109 patients (134 TJA) identified with OSA (8.7%). Compared with 127 randomly selected patients (141 TJA) without OSA, OSA patients were significantly heavier and had higher American Society of Anesthesiologists scores, more comorbidities, longer length of stay, more transient hypoxia, more transfusions, and more medical variances. Despite more minor variances, with appropriate screening and management, OSA patients did not have a higher rate of significant or major complications. Length of stay, although longer, was only 2.3 days in OSA patients, demonstrating the safety and efficacy of IN anesthesia in these patients.
机译：阻塞性睡眠呼吸暂停（OSA）可能是全关节置换术（TJA）后并发症的危险因素。我们试图确定接受TJA的患者中OS A的患病率，以及这些患者中鞘内麻醉（IN）的安全性和有效性。我们回顾性回顾了在一家医院接受1463例TJA的1255例连续患者。所有患者均接受了OSA和IN麻醉的常规筛查，其中109例患者（134 TJA）被确诊为OSA（8.7％）。与127例无OSA的随机选择患者（141 TJA）相比，OSA患者明显较重，并且美国麻醉医师学会评分更高，合并症更多，住院时间更长，暂时性缺氧更多，输血更多，医疗差异更大。尽管差异较小，但通过适当的筛查和管理，OSA患者的重大或重大并发症的发生率没有更高。 OSA患者的住院时间虽然更长，但仅为2.3天，证明了这些患者IN麻醉的安全性和有效性。

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