麻醉方法对择期鼻整形术后咽痛的影响。

The effects of anesthesia method on throat pain after elective rhinoplasty.

作者信息

Elyassi Hedayatollah, Mousavinasab Masoud, Rambod Mehdi, Hashemian Mohammad Reza, Dabbagh Ali

机构信息

Professor, Anesthesiology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Int J Prev Med. 2011 Oct;2(4):275-9.

PMID:22174969

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3237272/

Abstract

OBJECTIVES

Throat pain is a common postoperative complaint. In this study, we aimed to determine its incidence of throat pain after rhinoplasty by general anesthesia (GA) or conscious sedation (CS).

METHODS

We evaluated throat pain in postanesthesia care unit, 4, 12 and 24 hours after surgery using a numerical rating scale (NRS) in a clinical trial. A total number of 252 consecutive females aging over 18 years undergoing GA or CS for elective rhinoplasty entered the study after implementing inclusion and exclusion criteria. A logistic regression model was used to predict having throat pain.

RESULTS

The incidence of throat pain after CS and GA in postanesthesia care unit, 4, 12 and 24 hours after rhinoplasty were 34.9% vs. 34.9% (P = 0.99), 27.0% vs. 33.3% (P = 0.27), 14.3% vs. 22.2% (P = 0.10), 10.3% vs. 15.9% (P = 0.19), respectively. The odds ratio for throat pain was statistically significant for nausea/vomiting in postanesthesia care unit (OR = 11.1, 95% CI: 5.7-21.8; P < 0.0001).

CONCLUSIONS

Method of anesthesia had no independent role in predicting throat pain. Although larynx of subjects undergoing general anesthesia is manipulated by tracheal intubation, sedation has its specific risks for promoting throat pain after surgery. Therefore, neither CS nor GA is superior in terms of throat pain.

摘要

目的

咽痛是常见的术后主诉。在本研究中，我们旨在确定全身麻醉（GA）或清醒镇静（CS）下隆鼻术后咽痛的发生率。

方法

在一项临床试验中，我们使用数字评分量表（NRS）在术后麻醉恢复室、术后4小时、12小时和24小时评估咽痛情况。共有252名连续入选的18岁以上择期隆鼻手术接受GA或CS的女性在实施纳入和排除标准后进入研究。采用逻辑回归模型预测咽痛情况。

结果

隆鼻术后在术后麻醉恢复室、4小时、12小时和24小时时，CS组和GA组咽痛的发生率分别为34.9%对34.9%（P = 0.99）、27.0%对33.3%（P = 0.27）、14.3%对22.2%（P = 0.10）、10.3%对15.9%（P = 0.19）。术后麻醉恢复室中，咽痛的优势比在恶心/呕吐方面具有统计学意义（OR = 11.1，95%CI：5.7 - 21.8；P < 0.）。