Radu A D, Miled F, Marret E, Vigneau A, Bonnet F
Department of Anesthesia, Tenon Hospital, Assistance Publique, Hôpitaux de Paris, Paris, France.
Breast. 2008 Aug;17(4):407-11. doi: 10.1016/j.breast.2007.11.033. Epub 2008 May 2.
Sore throat and dysphonia are a significant source of postoperative discomfort for patients scheduled for breast surgery who have been intubated for general anaesthesia. The aim of this study was to compare the incidence of postoperative pharyngo-laryngeal pain and dysphonia in the use of the laryngeal mask airway (LMA) or tracheal intubation in these patients. In a prospective, double-blind, randomised clinical trial we studied 53 women undergoing elective breast surgery to test the hypothesis that the use of the LMA could reduce the incidence of pharyngo-laryngeal morbidity compared with tracheal intubation. Postoperative sore throat and hoarseness were assessed at 6 and 24h by a standardised interview. The incidence of postoperative sore throat was significantly higher in the case of tracheal intubation at 6h (74% vs. 27%, p=0.0003) and at 24h (27% vs. 0%, p=0.004). The incidence of hoarseness was significantly higher in the tracheal intubation group than in the LMA group at 6h after surgery (40% vs. 15%, p=0.04), but not at 24h. Compared with tracheal intubation, the use of the LMA is associated with a lower incidence of postoperative sore throat and hoarseness and may contribute for improving patient comfort after breast surgery.
对于接受全身麻醉插管的乳房手术患者而言，喉咙痛和声音嘶哑是术后不适的重要来源。本研究旨在比较这些患者使用喉罩气道（LMA）或气管插管术后咽喉疼痛和声音嘶哑的发生率。在一项前瞻性、双盲、随机临床试验中，我们研究了53例接受择期乳房手术的女性，以检验与气管插管相比，使用LMA可降低咽喉部发病率这一假设。术后6小时和24小时通过标准化访谈评估术后喉咙痛和声音嘶哑情况。气管插管组术后6小时（74%对27%，p=0.0003）和24小时（27%对0%，p=0.004）喉咙痛的发生率显著更高。术后6小时气管插管组声音嘶哑的发生率显著高于LMA组（40%对15%，p=0.04），但24小时时并非如此。与气管插管相比，使用LMA术后喉咙痛和声音嘶哑的发生率较低，可能有助于提高乳房手术后患者的舒适度。
