Maruyama K, Sakai H, Miyazawa H, Toda N, Iinuma Y, Mochizuki N, Hara K, Otagiri T
Department of Anesthesiology, Iida Municipal Hospital, 438 Yawata, Iida City, Nagano 395-8502, Japan.
Br J Anaesth. 2004 Apr;92(4):541-3. doi: 10.1093/bja/aeh098. Epub 2004 Feb 6.
Sore throat and hoarseness are common complications, but these have not been studied after total i.v. anaesthesia.
We prospectively studied 418 surgical patients, aged 15-92 yr, after total i.v. anaesthesia with propofol, fentanyl and ketamine to assess possible factors associated with sore throat and hoarseness.
We found sore throat in 50% and hoarseness in 55% of patients immediately after surgery. This decreased to 25% for sore throat and 24% for hoarseness on the day after surgery. Both sore throat and hoarseness were more common in females and when lidocaine spray had been used. Cricoid pressure during laryngoscopy was inversely associated with the risk of sore throat.
Knowledge of these factors may reduce postoperative throat complications, and improve patient satisfaction.
咽喉疼痛和声音嘶哑是常见的并发症，但全静脉麻醉后的这些情况尚未得到研究。
我们前瞻性地研究了418例年龄在15至92岁之间的手术患者，这些患者接受了丙泊酚、芬太尼和氯胺酮的全静脉麻醉，以评估与咽喉疼痛和声音嘶哑相关的可能因素。
我们发现术后即刻50%的患者出现咽喉疼痛，55%的患者出现声音嘶哑。术后第一天咽喉疼痛降至25%，声音嘶哑降至24%。咽喉疼痛和声音嘶哑在女性中更常见，并且在使用利多卡因喷雾时更常见。喉镜检查时的环状软骨压迫与咽喉疼痛风险呈负相关。
了解这些因素可能减少术后咽喉并发症，并提高患者满意度。
