中国普通外科杂志2024，Vol.33Issue(4)：545-552,8.DOI:10.7659/j.issn.1005-6947.2024.04.004
极度肥胖合并阻塞性睡眠呼吸暂停患者减重代谢手术围术期管理流程
Perioperative management process for patients with extreme obesity and obstructive sleep apnea undergoing metabolic and bariatric surgery
摘要
Abstract
Among obese patients,especially among those with extreme obesity(body mass index ≥50 kg/m2)who are scheduled for metabolic and bariatric surgery(MBS),obstructive sleep apnea(OSA)is one of the most common and s critical comorbidities,with a prevalence ranging from 35.0％to 93.6％in the bariatric population.MBS is the only treatment method capable of providing long-term effective relief for extreme obesity while alleviating OSA symptoms.However,OSA significantly increases the perioperative respiratory and cardiovascular complications and mortality rates associated with MBS.To reduce perioperative risks associated with MBS,key measures for the perioperative management of OSA involve timely and accurate diagnosis and assessment based on a multidisciplinary team(MDT)collaboration.This includes integrating OSA diagnosis,treatment,and monitoring into the perioperative management process of MBS,standardizing personalized precision treatment.This article,drawing on relevant literature and clinical experience from the authors'institution,introduces the perioperative management process for extreme obesity complicated by OSA,covering preoperative,intraoperative,and postoperative aspects,so as to provide clues and insights for the precise assessment of the most effective and safe treatment options.关键词
减肥手术/肥胖症/睡眠呼吸暂停,阻塞性/围手术期医护Key words
Bariatric Surgery/Obesity/Sleep Apnea,Obstructive/Perioperative Care分类
医药卫生引用本文复制引用
朱冬梓,王文越,王兵,杨珵璨..极度肥胖合并阻塞性睡眠呼吸暂停患者减重代谢手术围术期管理流程[J].中国普通外科杂志,2024,33(4):545-552,8.基金项目
国家自然科学基金资助项目(8207031749). （8207031749）
