Kim Do Hyun, Hwang Se Hwan
Department of Otolaryngology-Head and Neck Surgery, Seoul Saint Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Department of Otolaryngology-Head and Neck Surgery, Bucheon Saint Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
J Rhinol. 2023 Mar;30(1):6-14. doi: 10.18787/jr.2023.00014. Epub 2023 Mar 30.
The purpose of this study was to conduct a meta-analysis of the effects of intraoperative pharyngeal packing on postoperative nausea, vomiting, and sore throat in nasal surgery patients.
Databases were searched from inception to December 2022. Randomized controlled trials comparing saline-soaked pharyngeal packing (packing group) with no packing (control group) during intubation in patients undergoing nasal surgery were included. The primary outcomes of interest were the incidence of postoperative nausea, vomiting, and sore throat at 24 hours.
Eleven studies, including a total of 931 patients, were included. There was no significant difference between the two groups in the incidence of postoperative nausea and vomiting and severity scores at 2, 6, and 24 hours postoperatively. The incidence of throat pain was higher in the packing group than in the control group immediately after surgery and at 24 hours postoperatively. However, no significant difference was observed between the two groups in the incidence of sore throat at 6 and 12 hours postoperatively.
Intraoperative saline-soaked pharyngeal packing did not significantly decrease postoperative nausea and vomiting. However, the use of pharyngeal packing was associated with a higher incidence of sore throat in the initial recovery period.
本研究旨在对术中咽部填塞对鼻科手术患者术后恶心、呕吐及咽痛的影响进行荟萃分析。
检索自建库至2022年12月的数据库。纳入在鼻科手术患者插管期间比较盐水浸润咽部填塞（填塞组）与不填塞（对照组）的随机对照试验。主要关注的结局是术后24小时恶心、呕吐及咽痛的发生率。
纳入11项研究，共931例患者。两组术后恶心、呕吐发生率及术后2、6和24小时的严重程度评分无显著差异。术后即刻及术后24小时，填塞组咽痛发生率高于对照组。然而，术后6和12小时两组咽痛发生率无显著差异。
术中盐水浸润咽部填塞并未显著降低术后恶心和呕吐的发生率。然而，咽部填塞的使用与初始恢复期咽痛发生率较高相关。
