术后咽痛的发生率和严重程度：Glidescope喉镜与Macintosh喉镜的随机对照比较
Incidence and severity of postoperative sore throat: a randomized comparison of Glidescope with Macintosh laryngoscope.
作者信息
Aqil Mansoor, Khan Mueen Ullah, Mansoor Saara, Mansoor Saad, Khokhar Rashid Saeed, Narejo Abdul Sattar
机构信息
Department of Anesthesiology, King Saud University Medical City, P.O Box 7805, Riyadh, 11472, Saudi Arabia.
College of Medicine, Alfaisal University, Riyadh, Saudi Arabia.
出版信息
BMC Anesthesiol. 2017 Sep 12;17(1):127. doi: 10.1186/s12871-017-0421-4.
BACKGROUND
Postoperative sore throat (POST) is a common problem following endotracheal (ET) intubation during general anesthesia. The objective was to compare the incidence and severity of POST during routine intubation with Glidescope (GL) and Macintosh laryngoscope (MCL).
METHODS
One hundred forty adult patients ASA I and II with normal airway, scheduled to undergo elective surgery under GA requiring ET intubation were enrolled in this prospective randomized study and were randomly divided in two groups, GL and MCL. Incidence and severity of POST was evaluated at 0, 6, 12 and 24 h after surgery.
RESULTS
At 0 h, the incidence of POST was more in MCL than GL (n = 41 v.s n = 22, P = 0.001), and also at 6 h after surgery (n = 37 v.s n = 23, P = 0.017). Severity of POST was more at 0, 6 and 12 h after surgery in MCL (P < 0.001, P = 0.001, P = 0.004 respectively).
CONCLUSIONS
Routine use of GL for ET tube placement results in reduction in the incidence and severity of POST compared to MCL.
TRIAL REGISRATION
ClinicalTrials.gov NCT02848365 . Retrospectively Registered (Date of registration: July, 2016).
背景
术后咽喉痛（POST）是全身麻醉期间气管内（ET）插管后常见的问题。目的是比较使用Glidescope（GL）喉镜和Macintosh喉镜（MCL）进行常规插管时POST的发生率和严重程度。
方法
140例气道正常、计划在全身麻醉下接受择期手术且需要ET插管的ASA I级和II级成年患者纳入这项前瞻性随机研究，并随机分为两组，即GL组和MCL组。在术后0、6、12和24小时评估POST的发生率和严重程度。
结果
术后0小时，MCL组POST的发生率高于GL组（n = 41对n = 22，P = 0.001），术后6小时也是如此（n = 37对n = 23，P = 0.017）。MCL组术后0、6和12小时POST的严重程度更高（分别为P < 0.001、P = 0.001、P = 0.004）。
结论
与MCL相比，常规使用GL进行ET管置入可降低POST的发生率和严重程度。
试验注册
ClinicalTrials.gov NCT02848365。回顾性注册（注册日期：2016年7月）。
Zotero 插件