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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >Tolerance of Continuous Positive Airway Pressure After Sinonasal Surgery
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Tolerance of Continuous Positive Airway Pressure After Sinonasal Surgery

机译：Sinonasal手术后连续正气道压力的耐受性

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Objectives/Hypothesis For patients with obstructive sleep apnea (OSA) undergoing sinonasal surgery, there is a lack of consensus on the risk and appropriate postoperative use of continuous positive airway pressure (CPAP). The aim of this study was to assess the tolerability of restarting CPAP on postoperative day one. Study Design Prospective cohort study. Methods A prospective study on patients with OSA on CPAP who required a septoplasty/turbinectomy and/or functional endoscopic sinus surgery (FESS) was performed. Data from the memory card of a patient's CPAP machine and subjective information were obtained on the day of surgery and at scheduled follow-up visits. All subjects were instructed to restart CPAP on the first postoperative night. Results A total of 14 patients were analyzed; nine underwent FESS and five had a septoplasty/turbinectomy. There were no postoperative complications encountered. The only significant change in the first postoperative week was a reduction in the percentage of nights used over 4 hours (P< .05). By the third postoperative visit, average 22-item Sino-Nasal Outcome Test, Nasal Obstruction Symptom Evaluation, and CPAP tolerance scores improved from preoperative values. CPAP pressures, residual apnea-hypopnea index, and number of hours and mean percentage of nights used remained stable throughout the study period. Conclusions Both quality-of-life and CPAP outcomes improved or remained the same when restarting CPAP immediately postoperatively. Combined with a lack of significant complications, this study suggests that CPAP is well-tolerated when restarted the day after a septoplasty/turbinectomy or FESS. Level of Evidence 4Laryngoscope, 2020
机译：目的/假设对于接受鼻腔手术的阻塞性睡眠呼吸暂停（OSA）患者，对于持续气道正压（CPAP）的风险和术后适当使用缺乏共识。本研究的目的是评估术后第一天重启CPAP的耐受性。研究设计：前瞻性队列研究。方法对需要行鼻中隔成形术/鼻甲切除术和/或功能性内窥镜鼻窦手术（FESS）的OSA患者进行前瞻性研究。从患者CPAP机的存储卡中获得的数据和主观信息是在手术当天和计划的随访中获得的。所有受试者均被要求在术后第一晚重新开始CPAP。结果共分析14例患者；9例行FESS，5例行鼻中隔成形术/鼻甲切除术。术后无并发症发生。术后第一周唯一显著的变化是夜间使用时间超过4小时的百分比减少（P<0.05）。术后第三次就诊时，平均22项的鼻腔鼻窦转归测试、鼻塞症状评估和CPAP耐受性评分均比术前有所改善。CPAP压力、残余呼吸暂停低通气指数、使用小时数和平均夜间百分比在整个研究期间保持稳定。结论术后立即重启CPAP，生活质量和CPAP结果均得到改善或保持不变。再加上没有明显并发症，本研究表明，在鼻中隔成形术/鼻甲切除术或FESS术后第二天重新开始CPAP时，CPAP的耐受性良好。证据水平4喉镜，2020年

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