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[与术后咽痛相关因素的评估]

[Evaluation of factors associated with postoperative sore throat].

作者信息

Minamiguchi Mami, Tanaka Yu, Kitagawa Kazuhiko, Inoue Satoki, Kawaguchi Masahiko, Kirita Tadaaki

出版信息

Masui. 2014 Apr;63(4):401-5.

Abstract

BACKGROUND

Postoperative sore throat should be recognized seriously as an avoidable complication because of high incidence and dissatisfaction with anesthesia. The aim of the study was to identify the risk factors of postoperative sore throats in patients undergoing general anesthesia.

METHODS

We retrospectively studied 1,733 patients (above 18 years of age) who had undergone general anesthesia from January to December 2010 and who had visited Department of Anesthesia, postoperative anesthesia clinic.

RESULTS

Age, ASA classification, position, airway device, methods of postoperative pain management and site of surgery were significantly identified as the associated factors for postoperative sore throat using univariate analysis. Under 65 year of age (odds ratio 2.3), operation of head and neck and pharynx (odds ratio 1.6), spine surgeries (odds ratio 0.33), laryngeal mask (odds ratio 0.47), and postoperative intravenous patient-controlled analgesia (IV-PCA, odds ratio 0.4) were significantly identified as the factors with multivariate studies.

CONCLUSIONS

Six associated factors for postoperative sore throat were identified in this study.

摘要

背景

由于术后咽痛发生率高且患者对麻醉满意度低,应将其视为一种可避免的并发症并予以重视。本研究的目的是确定全身麻醉患者术后咽痛的危险因素。

方法

我们回顾性研究了2010年1月至12月在麻醉科术后麻醉门诊接受全身麻醉的1733例患者(年龄在18岁以上)。

结果

单因素分析显示,年龄、美国麻醉医师协会(ASA)分级、体位、气道装置、术后疼痛管理方法和手术部位是术后咽痛的相关因素。多因素分析显示,年龄小于65岁(比值比2.3)、头颈部及咽部手术(比值比1.6)、脊柱手术(比值比0.33)、喉罩通气(比值比0.47)及术后静脉自控镇痛(IV-PCA,比值比0.4)是术后咽痛的显著相关因素。

结论

本研究确定了术后咽痛的六个相关因素。

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