Zengin Musa, Akdaglı Ekici Arzu, Dogan Guvenc, Atan Dogan, Alagoz Ali
Anesthesiology and Reanimation, University of Health Sciences, Ankara Atatürk Chest Diseases and Thoracic Surgery Training and Research Hospital, Ankara, TUR.
Anesthesiology and Reanimation, Hitit University, Erol Olcok Training and Research Hospital, Corum, TUR.
Cureus. 2021 Oct 26;13(10):e19056. doi: 10.7759/cureus.19056. eCollection 2021 Oct.
Background Although the deterioration in sound quality is not as much as endotracheal intubation, it can also be seen after the use of laryngeal mask airway (LMA). The aim of this study is to investigate the effects of different LMA types on voice performance. Methods This study included 88 patients aged 18-80 years, whose surgical procedure was not planned to take longer than 120 minutes. In the acoustic voice analysis, F0, jitter%, and shimmer% were examined. In addition, the Voice Handicap Index (VHI)-30 questionnaire has completed an evaluation of voice quality. The patients were randomly divided into two groups (I-gel LMA [n=44]; Classic LMA [n=44]) according to the closed envelope method. Results A total of 88 patients were included in the study. Demographic data of the patients were statistically similar between the groups (p > 0.05). The changes in the preoperative and postoperative F0, jitter, and VHI-30 values in the I-gel group were statistically significant (p: 0.002, p: 0.001, p < 0.001). Shimmer values were not significantly different (p: 0.762). In the classical LMA group, preoperative and postoperative F0, jitter, shimmer, and VHI-30 values were statistically significantly different (p: 0.001, p: 0.012, p: 0.036, p < 0.001). Conclusion I-gel LMA and classic LMA negatively affect voice performance in the preoperative and postoperative periods. This situation was also observed in the VHI-30 index test. However, when this situation was evaluated in terms of shimmer analysis, the decrease in voice quality in the early postoperative period was more limited in the I-gel group.
尽管音质恶化程度不如气管内插管严重，但在使用喉罩气道（LMA）后也会出现。本研究的目的是探讨不同类型LMA对嗓音表现的影响。方法：本研究纳入了88例年龄在18至80岁之间、手术计划时长不超过120分钟的患者。在声学嗓音分析中，检测了基频（F0）、抖动百分比（jitter%）和闪烁百分比（shimmer%）。此外，还通过嗓音障碍指数（VHI）-30问卷对嗓音质量进行了评估。根据封闭信封法，将患者随机分为两组（I-gel喉罩组[n = 44]；经典喉罩组[n = 44]）。结果：本研究共纳入88例患者。两组患者的人口统计学数据在统计学上相似（p > 0.05）。I-gel组术前和术后F0、抖动及VHI-30值的变化具有统计学意义（p分别为0.002、0.001、p < 0.001）。闪烁值无显著差异（p = 0.762）。在经典喉罩组中，术前和术后F0、抖动、闪烁及VHI-30值在统计学上有显著差异（p分别为0.001、0.012、0.036、p < 0.001）。结论：I-gel喉罩和经典喉罩在术前和术后均对嗓音表现有负面影响。在VHI-30指数测试中也观察到了这种情况。然而，从闪烁分析的角度评估这种情况时，I-gel组术后早期嗓音质量的下降更为有限。
