title: [Nasopharyngeal and oropharyngeal airway in obstructive sleep apnea syndrome, multi-plane operation application of perioperative].
abstract: OBJECTIVE
  To compare the mitigation role of nasopharyngeal and oropharyngeal airway in obstructive sleep apnea hypopnea syndrome (OSAHS) patients with upper airway obstruction after multiple plane operation. Observed parameters included life quality, the clinical value and reliability of nasopharyngeal and oropharyngeal airway.
  
  
  METHODS
  The nasopharyngeal airway group, 56 patients with PSG in patients diagnosed with severe OSAHS, after setting nasopharyngeal airway. Oropharyngeal airway group, 45 cases of OSAHS by PSG confirmed severe patients home after oropharyngeal airway, the same as the other treatment groups. Line postoperative ECG, oxygen saturation and hemodynamic monitoring. Two groups were compared in 24 h breathing difficulties, low oxygen saturation, hemodynamics, pharyngeal pain and discomfort of the situation.
  
  
  RESULTS
  The multiplane after 24 h, the nasopharyngeal airway in patients hemodynamics HR (82.3 +/- 2.65) times/min, SBP(124.5 +/- 13.95) mmHg, DBP (76.2 +/- 8.1) mmHg, RPP(10282.0 +/- 1481.7), port pharyngeal airway in patients hemodynamics HR (93.4 +/- 2.89)times/min, SBP (135.1 +/- 16.5) mmHg, DBP (92.25 +/- 11.25) mmHg. There was significant difference between the two group (P < 0.05); pharyngeal pain nasopharyngeal airway group (1.71 +/- 0.45) points, oropharyngeal airway group (310) points, there was significant difference between the two (P < 0.05); nasopharyngeal airway breathing difficulties Group 0, 0 oropharyngeal airway group, no significant difference between the two (P > 0.05); the lowest oxygen saturation nasopharyngeal airway group (95.2 +/- 1.6)%, oropharyngeal airway group (95.41 +/- 1.34)%, no significant difference between the two (P > 0.05). 24 h before and after surgery between patients with the same group in the hemodynamic parameters (HR,SBP,DBP,RPP), pharyngeal pain, lowest oxygen saturation difference was statistically significant areas (P < 0.05).
  
  
  CONCLUSIONS
  Ventilation tube in the nasopharynx and oropharynx in patients with severe OSAHS the same period of postoperative respiratory management plane could well lift the upper airway obstruction. However, nasopharyngeal ventilation tube has a better hemodynamic stability and tolerance, it can reduce patient suffering and increased health and safety from, it is a more safe, minimally invasive and effective method.
authors.affiliation: Department of Otolaryngology Head and Neck Surgery, Mianyang Central Hospital, Mianyang, 621000, China.
authors.forename: Jie
authors.initials: J
authors.lastname: Wang
authors.forename: Zhenhua
authors.initials: Z
authors.lastname: Jiang
authors.forename: Chuan
authors.initials: C
authors.lastname: Dong
authors.forename: Qingjun
authors.initials: Q
authors.lastname: Liu
authors.forename: Wei
authors.initials: W
authors.lastname: Deng
authors.forename: Guoqi
authors.initials: G
authors.lastname: Liu
authors.forename: Liling
authors.initials: L
authors.lastname: Chen
authors.forename: Zhen
authors.initials: Z
authors.lastname: Zhang
mesh_terms: D000328:Adult; D000402:Airway Obstruction / Q000517:prevention & control; D002404:Catheterization / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009305:Nasopharynx / Q000601:surgery*; D009960:Oropharynx / Q000601:surgery*; D020181:Sleep Apnea, Obstructive / Q000601:surgery*