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无痛胃镜检查后咽痛相关因素分析:一项单中心研究

Analysis of Factors Related to Throat Soreness After Painless Gastroscopy: A Single-Center Study.

作者信息

Liu Haini, Zhang Ajuan, Liu Hongyan

机构信息

Department of Nursing, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Jinan, Shandong, People's Republic of China.

Department of Intensive Care Unit, Qingdao Hiser Hospital Affiliated of Qingdao University (Qingdao Traditional Chinese Medicine Hospital), Qingdao, Shandong, People's Republic of China.

出版信息

J Pain Res. 2024 Dec 24;17:4485-4491. doi: 10.2147/JPR.S482679. eCollection 2024.

DOI:10.2147/JPR.S482679
PMID:39735660
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11681810/
Abstract

INTRODUCTION

Throat soreness is a frequently encountered yet often underappreciated complication in patients undergoing gastroscopy. Few studies have explicitly explored the relationship between gastroscopy and throat soreness. This study aimed to review demographic data, summarize the characteristics, and investigate the influencing factors of throat soreness following gastroscopy.

METHODS

This cross-sectional descriptive study included inpatients who underwent painless gastroscopy at The First Affiliated Hospital of Shandong First Medical University between December 2023 and January 2024. The analysis focused on patient demographics, duration of fasting before gastroscopy, the procedure's duration, the occurrence of vomiting post-gastroscopy, sore severity, and recovery time.

RESULTS

A total of 254 patients underwent painless gastroscopy during the study period, and 123 patients experienced postoperative throat soreness (71 males, 52 females) with an average age of 57.2 years. When comparing the throat soreness and non-soreness groups, significant differences were noted in the duration of gastroscopy and fasting time before the examination. No statistically significant differences were observed in age, BMI, comorbidities, history of smoking, alcohol consumption, previous gastroesophageal surgery, reflux esophagitis, or post- procedure vomiting. Logistic regression analysis identified the duration of gastroscopy as a predictor of throat soreness post-procedure. Most of the patients reported resolution of throat soreness within 3 days.

DISCUSSION

The findings of this study confirm that throat soreness is a common issue (the incidence was 48.4%) following gastroscopy, particularly associated with longer duration of gastroscopy. Fortunately, all instances of throat soreness resolved within a few days without the need for significant medical intervention.

摘要

引言

咽痛是接受胃镜检查的患者中经常遇到但往往未得到充分重视的并发症。很少有研究明确探讨胃镜检查与咽痛之间的关系。本研究旨在回顾人口统计学数据,总结特征,并调查胃镜检查后咽痛的影响因素。

方法

这项横断面描述性研究纳入了2023年12月至2024年1月在山东第一医科大学第一附属医院接受无痛胃镜检查的住院患者。分析重点关注患者的人口统计学特征、胃镜检查前的禁食时间、检查过程的持续时间、胃镜检查后呕吐的发生情况、咽痛严重程度和恢复时间。

结果

在研究期间,共有254例患者接受了无痛胃镜检查,其中123例患者术后出现咽痛(男性71例,女性52例),平均年龄为57.2岁。比较咽痛组和无咽痛组时,发现胃镜检查持续时间和检查前禁食时间存在显著差异。在年龄、体重指数、合并症、吸烟史、饮酒情况、既往胃食管手术史、反流性食管炎或术后呕吐方面未观察到统计学显著差异。Logistic回归分析确定胃镜检查持续时间是术后咽痛的一个预测因素。大多数患者报告咽痛在3天内缓解。

讨论

本研究结果证实,咽痛是胃镜检查后常见的问题(发生率为48.4%),尤其与胃镜检查持续时间较长有关。幸运的是,所有咽痛病例在几天内均得到缓解,无需重大医疗干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f684/11681810/06f6733e1878/JPR-17-4485-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f684/11681810/06f6733e1878/JPR-17-4485-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f684/11681810/06f6733e1878/JPR-17-4485-g0001.jpg

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