McHardy F E, Chung F
Northern Schools of Anaesthesia Newcastle, Royal Victoria Infirmary, Newcastle upon Tyne, UK.
Anaesthesia. 1999 May;54(5):444-53. doi: 10.1046/j.1365-2044.1999.00780.x.
Sore throat is a common postoperative complaint, occurring most often following tracheal intubation. Factors such as tracheal-tube size and cuff design have been shown to be important causative factors. Routine tracheal intubation for elective surgical procedures can result in pathological changes, trauma and nerve damage which may also account for postoperative throat symptoms. Sore throat following the use of a laryngeal mask appears to be related to the technique of insertion but the contribution of intracuff pressure remains to be clarified. It would appear, however, that high intracuff pressure is associated with nerve palsies due to neuropraxia and nerve compression. Careful insertion techniques for both the tracheal tube and laryngeal mask are of paramount importance in the prevention of airway trauma and postoperative sore throat.
咽喉痛是常见的术后主诉，最常发生于气管插管后。气管导管尺寸和套囊设计等因素已被证明是重要的致病因素。择期手术的常规气管插管可导致病理改变、创伤和神经损伤，这也可能是术后咽喉症状的原因。使用喉罩后出现的咽喉痛似乎与插入技术有关，但套囊内压力的作用仍有待阐明。然而，高套囊内压力似乎与因神经失用和神经受压导致的神经麻痹有关。气管导管和喉罩的仔细插入技术对于预防气道创伤和术后咽喉痛至关重要。
