Mitobe Yuta, Yamaguchi Yuri, Baba Yasuko, Yoshioka Tomomi, Nakagawa Kenji, Itou Takeshi, Kurahashi Kiyoyasu
Graduate School of Health and Welfare Science, International University of Health and Welfare, Tokyo, Japan.
Department of Anesthesiology, Yokohama Municipal Citizen's Hospital, Kanagawa, Japan.
J Clin Med Res. 2022 Feb;14(2):88-94. doi: 10.14740/jocmr4665. Epub 2022 Feb 24.
Postoperative sore throat can occur as a complication in patients who have undergone surgery under general anesthesia. The incidence of postoperative sore throat ranges from 12.1% to 70%, and its effects include damage to the epithelium and mucosal cells caused by airway securement, damage to the vocal cords, congestion, blood clots, and factors such as an inappropriately large tube, cuff shape, cuff pressure, and airway securement. Notably, there are individual differences in pain thresholds, and the sensation of pain is affected by mental states, such as anxiety, and varies from person to person. Therefore, we conducted a literature review using PubMed to clarify patient factors related to the development of postoperative sore throat. The extracted keywords were "postoperative sore throat," "anesthesia," and "patient factors." We found 16 articles that met our search criteria. We expanded the search period and retrieved 19 cases from 1990 to 2020. We also included references that were judged to be closely related to the list of citations of the retrieved references. The study designs included were randomized controlled trials, clinical trials, meta-analyses, reviews, and systematic reviews. The results showed that female sex, smoking, and age were the most common patient factors. However, we could not find any literature that studied the relationship between postoperative sore throat and mental states such as anxiety.
术后咽痛是全身麻醉手术后患者可能出现的一种并发症。术后咽痛的发生率在12.1%至70%之间，其影响包括气道固定导致的上皮和黏膜细胞损伤、声带损伤、充血、血凝块以及气管导管尺寸过大、套囊形状、套囊压力和气道固定等因素。值得注意的是，疼痛阈值存在个体差异，疼痛感觉会受到焦虑等精神状态的影响，因人而异。因此，我们使用PubMed进行了文献综述，以阐明与术后咽痛发生相关的患者因素。提取的关键词为“术后咽痛”“麻醉”和“患者因素”。我们找到了16篇符合搜索标准的文章。我们扩大了搜索时间段，检索到1990年至2020年的19个病例。我们还纳入了被判定与检索参考文献列表密切相关的参考文献。纳入的研究设计包括随机对照试验、临床试验、荟萃分析、综述和系统评价。结果显示，女性、吸烟和年龄是最常见的患者因素。然而，我们未找到任何研究术后咽痛与焦虑等精神状态之间关系的文献。
