Basha S I, McCoy E, Ullah R, Kinsella J B
The Royal Victoria Hospital, Belfast, Northern Ireland, UK.
Anaesthesia. 2006 Dec;61(12):1161-5. doi: 10.1111/j.1365-2044.2006.04868.x.
The efficacy of pharyngeal packing in the prevention of postoperative nausea and vomiting (PONV) in patients undergoing nasal surgery was evaluated in a prospective randomised controlled study. The effect of the presence of the pharyngeal pack on the incidence of postoperative sore throat was also assessed. One hundred patients were randomly allocated to one of two groups; the first had packing and the second received no packing. The placement of a pharyngeal pack was found to have no effect on the incidence of PONV but was associated with a significantly increased incidence of sore throat. The absence of a pharyngeal pack was not associated with an increase in postoperative aspiration or vomiting. We conclude that the routine placement of pharyngeal packs during uncomplicated nasal surgery has no effect on the incidence of PONV and will increase the incidence of postoperative sore throat.
在一项前瞻性随机对照研究中，评估了咽部填塞在预防鼻腔手术患者术后恶心呕吐（PONV）方面的疗效。还评估了咽部填塞物的存在对术后咽痛发生率的影响。100名患者被随机分配到两组中的一组；第一组进行填塞，第二组不进行填塞。结果发现，咽部填塞对PONV的发生率没有影响，但与咽痛发生率显著增加有关。未放置咽部填塞物与术后误吸或呕吐的增加无关。我们得出结论，在简单的鼻腔手术中常规放置咽部填塞物对PONV的发生率没有影响，且会增加术后咽痛的发生率。
