Shrestha S, Maharjan B, Karmacharya R M
Department of Nursing, Dhulikhel Hospital, Kathmandu University Hospital, Dhulikhel, Kavre.
Department of Surgery, Dhulikhel Hospital, Kathmandu University Hospital, Dhulikhel, Kavre.
Kathmandu Univ Med J (KUMJ). 2017;15(57):10-13.
Background Postoperative sore throat is a relatively minor complaint but a frequent postoperative complication of anesthesia. The incidence of postoperative sore throat varies from 0-50% in most research studies, but some report the incidence is as high as 51-100% following general anesthesia. Objective The aim of this study was to obtain the incidence and determine the associated risk factors of postoperative sore throat in tertiary care hospital. Method Three hundred and seventy six patients who underwent various surgeries under general anesthesia in Dhulikhel Hospital during a four month period were included. Using a predesigned questionnaire with follow up after 24-30 hours after extubation, data was collected. Sore throat was identified using a four point scale (0-3). Result Overall incidence of postoperative sore throat was 50.8%. Patient with airway device endotracheal tubes had the highest incidence (52.2%, 176 of 337), and patient with i-gel had a lower incidence of sore throat (33.3%, 7 of 21). Female patients reported more sore throat than male, more common with older age group and duration of anesthesia more than two hours. Increased incidence of postoperative sore throat was not associated with the type of surgery, number of intubation attempts, category of personnel performing airway managementr and use of oropharyngeal airway. Conclusion Postoperative sore throat is a common complication of airway instrumentation in general anesthesia that can lead to discomfort. The overall incidence of postoperative sore throat in this study was 50.8%. Endotracheal tube, female patients and increased duration of anesthesia were associated with increased postoperative sore throat rates.
术后咽痛是一种相对轻微的不适，但却是麻醉常见的术后并发症。在大多数研究中，术后咽痛的发生率在0%至50%之间，但也有一些报告称全身麻醉后发生率高达51%至100%。目的：本研究旨在得出三级护理医院术后咽痛的发生率并确定其相关危险因素。方法：纳入在四个月期间于杜利凯尔医院接受全身麻醉下各种手术的376例患者。使用预先设计的问卷，在拔管后24至30小时进行随访并收集数据。咽痛采用四点量表（0至3）进行评估。结果：术后咽痛的总体发生率为50.8%。使用气管内导管气道装置的患者发生率最高（52.2%，337例中有176例），而使用i-gel的患者咽痛发生率较低（33.3%，21例中有7例）。女性患者报告的咽痛比男性更多，在老年组中更常见，且麻醉持续时间超过两小时的情况更常见。术后咽痛发生率的增加与手术类型、插管尝试次数、进行气道管理的人员类别以及口咽气道的使用无关。结论：术后咽痛是全身麻醉气道操作常见的并发症，可导致不适。本研究中术后咽痛的总体发生率为50.8%。气管内导管、女性患者以及麻醉持续时间增加与术后咽痛发生率增加有关。
