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择期手术后的咽痛

Postoperative sore throat after elective surgical procedures.

作者信息

Ahmed Aliya, Abbasi Shemaila, Ghafoor Hasham Bin, Ishaq Muhammad

机构信息

Department of Anaesthesia, Aga Khan University Hospital, Karachi, Pakistan.

出版信息

J Ayub Med Coll Abbottabad. 2007 Apr-Jun;19(2):12-4.

Abstract

BACKGROUND

Postoperative sore throat is a common complication of anaesthesia and can lead to dissatisfaction after surgery. Many factors can contribute to postoperative sore throat and the incidence varies with the method of airway management.

METHODS

In this prospective observational study elective gynaecological and general surgical patients were interviewed 24 hours postoperatively to determine the presence of sore throat. Information collected included demographic data, surgical procedure, duration of surgery, airway device used and position of patient during surgery. This study was done over a period of 3 months.

RESULTS

312 patients were interviewed. 81(26%) patients suffered with sore throat postoperatively. 28% of patients with endotracheal intubation (ETT) and 3.5% of patients with laryngeal mask airway had a sore throat. Female patients reported more sore throat than male patients (27.1% vs. 19.1%). Sore throat was found to be more common with older age group, grade of difficulty in intubation, duration of surgery and patient's position during surgery.

CONCLUSION

Awareness of the factors responsible for increased incidence of postoperative sore throat and appropriate care especially during endotracheal intubation can help to reduce the incidence of postoperative sore throat.

摘要

背景

术后咽痛是麻醉常见的并发症,可导致术后患者不满意。许多因素可导致术后咽痛,其发生率因气道管理方法而异。

方法

在这项前瞻性观察研究中,对择期妇科和普通外科手术患者在术后24小时进行访谈,以确定是否存在咽痛。收集的信息包括人口统计学数据、手术方式、手术持续时间、使用的气道装置以及手术期间患者的体位。本研究为期3个月。

结果

共访谈了312例患者。81例(26%)患者术后出现咽痛。气管插管(ETT)患者中有28%出现咽痛,喉罩通气患者中有3.5%出现咽痛。女性患者咽痛的报告率高于男性患者(27.1%对19.1%)。发现咽痛在年龄较大的患者、插管困难程度、手术持续时间以及手术期间患者体位方面更为常见。

结论

了解导致术后咽痛发生率增加的因素并采取适当护理措施,尤其是在气管插管期间,有助于降低术后咽痛的发生率。

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