Department of Surgery, Medical College, Kufa University, Kufa, Iraq.
J Med Life. 2023 Jun;16(6):904-907. doi: 10.25122/jml-2022-0137.
During general anesthesia, inserting a relatively stiff endotracheal tube using a metallic laryngoscope through the soft tissues of the pharynx and larynx, along with applying a pressured cuff, can result in varying degrees of tissue trauma and adverse outcomes. Anesthesiologists commonly encounter post-operative issues such as hoarseness, sore throat, and laryngospasm. This study aimed to compare the effectiveness of topical applications of dexamethasone emollient, lidocaine gel, and glycerin emollient in reducing these complications. One hundred patients were randomly assigned to four groups of 25 patients each: the control group (Group C), lidocaine gel group (Group L), glycerin emollient group (Group G), and dexamethasone emollient group (Group D). The assigned medication was topically applied to the endotracheal tube, and patients were monitored for postoperative laryngospasm, hoarseness, and sore throat within the first 24 hours. No statistically significant differences were found among the four groups in terms of demographic characteristics, postoperative sore throat, hoarseness, or laryngospasm (p>0.05). Lidocaine gel was an effective drug that can be used to attenuate the incidence rate of post-operative sore throat.
在全身麻醉期间，使用金属喉镜通过咽和喉的软组织插入相对刚性的气管内导管，并施加压力袖带，可导致不同程度的组织创伤和不良后果。麻醉师通常会遇到术后问题，如声音嘶哑、喉咙痛和喉痉挛。本研究旨在比较地塞米松软膏、利多卡因凝胶和甘油软膏局部应用在减少这些并发症方面的效果。将 100 名患者随机分为四组，每组 25 名患者：对照组（C 组）、利多卡因凝胶组（L 组）、甘油软膏组（G 组）和地塞米松软膏组（D 组）。将分配的药物局部应用于气管内导管，在术后 24 小时内监测患者的术后喉痉挛、声音嘶哑和喉咙痛。四组之间在人口统计学特征、术后喉咙痛、声音嘶哑或喉痉挛方面无统计学差异（p>0.05）。利多卡因凝胶是一种有效的药物，可以用来减轻术后喉咙痛的发生率。
