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Clinical Application

Nursing and cooperation of palatopharyngeal plasty assisted with high power semiconductor laser

Keywords: laser, uvulopalatopharyngoplasty, surgical co-Care

Abstract :High-power semiconductor laser uvulopalatopharyngoplasty in treatment of obstructive sleep apnea syndrome, an efficient, less bleeding, reaction, rapid recovery, few complications, is the effective method of 1. In the operation position of the placement, anesthesia induction, recovery of the observations, with surgery, disinfection and maintenance of equipment is to ensure patient safety an important means of operation.
Key words:laser, uvulopalatopharyngoplasty, surgical co-Care
Obstructive sleep apnea hypopnea syndrome (OSAHS) is a more serious sleep disorders in a kind of surgical treatment of OSAHS is the existence of the site of upper airway stenosis, airway stenosis by surgical methods to expand. High power semiconductor laser has a good cutting function and hemostasis, were used in uvulopalatopharyngoplasty, is an effective surgical treatment of OSAHS method [2]. Our hospital from 2008 laser assisted uvulopalatopharyngoplasty surgery in 49 cases, satisfactory results, now with the surgery and nursing care are presented below.
1 clinical materials
1.1 general material
49 patients in this group of patients, 38 males and 11 females; aged 22 to 59 years old, flat 41.0 years. Sleep apnea index of 15 to 57, average 23.0. Oxygen saturation of 36% ~ 86%, average 70.0%. All the patients were polysomnography examination (PSG) identification, diagnosis of OSAHS; clinical examination is not the amygdala or I °, long thick uvula; or long uvula is not rough, but the free edge falls by the soft palate. Among them, 36 patients with moderate and severe in 13 cases.
1.2 treatment
First to bilateral tonsils: 15W-2 s-2 s non-contact cutting edge pre-coagulation mucosa, anatomic dissection tonsil contact. Tonsillar fossa hemorrhage near the 15W-2 s-2 s short-pulse laser jet firing. Then remove the uvula and part of the soft palate tissue: 20W continuous work simple contact, in the palatal pit 0.5 cm below the level of the uvula, part of the soft palate and pharynx palatal tissue removal. Free margin after resection of soft palate backwards to reach the posterior pharyngeal wall, soft palate, anterior margin of the posterior margin of more than 3 mm, optical fiber inserted in section 4 points equidistant from the soft palate, the depth of about 1 cm, 1 5W-2 s works Point spray. Around the edge of the soft palate was sutured, double tongue, palate and pharyngeal arch were sutured.
2 nurse
2.1 Preoperative Care
2.1.1 OSAHS patients with preoperative visit urgent mood cure, nurses should be given a high sense of responsibility and compassion, patience and explanation. The day before surgery patients were followed up, to understand the disease, detailed description of the
patient anesthesia, surgical methods, advantages, indications and surgical treatment, so that patients understand this surgery less bleeding than conventional surgery, response, rapid recovery, few complications advantages. Elimination of psychological stress of patients, reduce the fear to a relaxed state of mind to have surgery.
2.1.2 patients prepare
The day before surgery with 0.9% saline gargle, maintain oral hygiene. Check whether nasal patency to nasal tracheal intubation smoothly.
2.1.3 Items ready: The 30W semiconductor laser, wavelength 810 nm, diameter of 1000 nm optical bare fiber and components, conventional surgical instruments pharynx. Laser optical fiber and accessories with low-temperature hydrogen peroxide plasma sterilization......

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