Karbasforushan Ali, Hemmatpoor Behzad, Makhsosi Behnam Reza, Mahvar Tayebeh, Golfam Parisa, Khiabani Behrooz
Department of Anesthesiology, Emam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Departments of Surgery, Emam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Iran J Otorhinolaryngol. 2014 Oct;26(77):219-23.
Nausea and vomiting after ear, nose and throat (ENT) surgery is one of the most common and notable problems facing anesthesiologists in this area. This study was conducted to determine the effect of a pharyngeal pack on the severity of nausea, vomiting, and sore throat among patients after ear, pharynx, and throat surgeries.
This randomized clinical study was performed in 140 patients (61 men and 79 women; age range, 20-40 years) who had undergone nasal surgery in 2010. Patients were divided into two groups: the first group were treated using a pharyngeal pack (case group) and the second group were managed without a pharyngeal pack (control group). Statistical analysis was performed using the Chi-square test and the Mann-Whitney U test. SPSS software was used for data analysis.
The mean severity of nausea and vomiting in the two groups was 2.057, 1.371 and 1.100, respectively, with no significant differences between groups. However, the mean severity of sore throat was 1.714 in the group with the pharyngeal pack and 1.385 in the group without pharyngeal pack (P=0.010).
Not only does a pharyngeal pack in ENT surgery not reduce the extent and severity of nausea and vomiting, but it also increases the severity of sore throat in patients when leaving the recovery room and discharging hospital.
耳鼻喉（ENT）手术后的恶心呕吐是该领域麻醉医生面临的最常见且显著的问题之一。本研究旨在确定咽部填塞对耳鼻喉手术后患者恶心、呕吐及咽痛严重程度的影响。
本随机临床研究纳入了2010年接受鼻腔手术的140例患者（61例男性和79例女性；年龄范围20 - 40岁）。患者分为两组：第一组采用咽部填塞治疗（病例组），第二组不采用咽部填塞处理（对照组）。采用卡方检验和曼 - 惠特尼U检验进行统计分析。使用SPSS软件进行数据分析。
两组恶心和呕吐的平均严重程度分别为2.057、1.371和1.100，组间无显著差异。然而，有咽部填塞组的咽痛平均严重程度为1.714，无咽部填塞组为1.385（P = 0.010）。
耳鼻喉手术中咽部填塞不仅不能降低恶心呕吐的程度和严重程度，还会增加患者离开恢复室及出院时咽痛的严重程度。
