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首页> 外文期刊>The Journal of arthroplasty >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：患有总关节置换术患者阻塞性睡眠呼吸暂停的患病率和管理

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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）可能是总关节成形术（TJA）后并发症的危险因素。我们试图确定在经过TJA的患者中确定OS A的患病率，以及这些患者的鞘内麻醉（IN）的安全性和有效性。我们回顾了在一家医院接受了1463年TJA的1255名连续患者。所有患者均经历了OSA和麻醉的常规筛查，用OSA鉴定了109名患者（134 TJA）（8.7％）。与127例无OSA随机选择的患者（141吨TJA）相比，OSA患者显着重，美国麻醉学家的较高社会评分，更多的合并症，寿命更长，更长的缺氧，更多的缺氧，更长的输血和更多的医疗差异。尽管有更多的差异，但具有适当的筛选和管理，OSA患者没有更高的显着或主要并发症。虽然较长，但在OSA患者中只有2.3天的逗留时间，展示了这些患者麻醉中的安全性和功效。

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