When the
patient is sleeping soundly, the loudness of snoring is greater than 60 dB, which affects the gas exchange during normal breathing, which is called snoring. You may not understand this, but if I say that snoring is known as “snoring”, you should understand it. Snoring is also called “sleep apnea hypopnea syndrome” in medical terminology, which belongs to a sleep disorder. This article will give you a brief science about the clinical characteristics of snoring, and help snoring patients to analyze the anesthesia treatment.
What is snoring? Snoring is the sound of vibration caused by the impact of airflow on the pharyngeal anatomy (such as soft palate, uvula, tonsil and palatopharyngeal arch, palatoglossal arch, tongue root, pharyngeal muscle, pharyngeal mucosa) when it passes through the upper respiratory tract during sleep. Snoring can lead to repeated cessation of sleep breathing, which makes it seem that the person is sleeping well. However, there may be a lack of oxygen in the blood of the brain, and in serious cases, there will be cardiovascular and cerebrovascular diseases.
What are the clinical features
of snoring?
(1) Snoring is particularly loud when sleeping. People with snoring usually breathe through their mouths, and the sound of exhalation seems to be blowing up balloons. In the middle of sleep, suddenly there is no sound, snoring and exhaling sounds can not be heard, after a few minutes, there will be a sound like coughing, coughing a few times, continue to snore. If the situation is very serious, people will suddenly wake up and start panting. The most serious thing is that the sound of snoring and exhaling stops for a long time, and suddenly the whole body struggles, and people fall into a temporary coma, do not remember what happened just now, eyelids, lips are purple, the appearance is very scary.
(2) Sleep quality is not good, there is no spirit during the day, sleep at night is always repeatedly suffocated to wake up, sleep is not peaceful, it is easy to appear epilepsy; sleep can not alleviate the fatigue of the day, it will lead to the next day to go to work without spirit, always yawn, feel very sleepy, want to continue to sleep; sleep is relatively shallow, feel headache after waking up; At night, there will be symptoms of angina pectoris and arrhythmia; when you get up in the middle of the night, there will be enuresis, and the number of times you get up in the middle of the night to go to the toilet is more; your memory is not good, and you can’t keep up with the reaction, which affects your work and study; during the day, you seem to be asleep and not asleep, and it is easy to doze off when you work and eat; Male friend can appear the circumstance of impotent, without sexual desire; If old people, probable senile dementia. So if you feel poor sleep quality at night and tired during the day, it’s probably caused by snoring.
(If 3) systemic symptom appears snore disease, systemic symptom has the following kinds of expression: Blood pressure heighten, arrhythmia, lack blood heart disease, diabetic etc.
Anesthetic treatment
of snoring
(1) Before preoperative evaluation of anesthesia, imaging examination should be carried out to evaluate the patient’s sleep, breathing and sleep electromyography, to determine the degree of hypoxia and to determine whether the patient can tolerate anesthesia.
(2) Intravenous administration of anesthesia during the operation can inhibit the central nervous system and relieve pain.
(3) Postoperative anesthesia treatment: wear ECG monitoring for patients, observe oxygen saturation, heart rate and blood pressure of patients, and provide tracheal intubation if necessary.
Precautions
for snoring patients before and after surgery (1) General anesthesia should be considered before surgery, and diet should be forbidden 6 hours before surgery. (2) 14 days after operation, we should eat food that is easy to digest, preferably liquid food, semi-liquid food, such as rice porridge, noodles, Dough Drop and Assorted Vegetable Soup, etc., do not eat spicy food, food that is not easy to chew, quit smoking and alcohol. After the operation, sleep data were monitored under the guidance of doctors, sleep quality and body condition were evaluated at night, and regular reviews were conducted.
Sleep apnea syndrome
