不同氣管導(dǎo)管潤(rùn)滑劑對(duì)全身麻醉患者術(shù)后咽喉痛的影響.pdf

《不同氣管導(dǎo)管潤(rùn)滑劑對(duì)全身麻醉患者術(shù)后咽喉痛的影響.pdf》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在行業(yè)資料-天天文庫。

1、上海醫(yī)學(xué)2014年第37卷第2期●臨床麻醉●不同氣管導(dǎo)管潤(rùn)滑劑對(duì)全身麻醉患者術(shù)后咽喉痛的影響劉海戀黃紹強(qiáng)王美華【摘要】目的探討不同氣管導(dǎo)管潤(rùn)滑劑對(duì)全身麻醉患者術(shù)后咽喉痛的影響。方法本研究為前瞻性的隨機(jī)、雙盲、對(duì)照研究，選擇I50例擇期在氣管插管全身麻醉下行婦科腹腔鏡手術(shù)的患者，年齡20～60歲，體重50~70kg，美國(guó)麻醉醫(yī)師學(xué)會(huì)(ASA)分級(jí)I或Ⅱ級(jí)，手術(shù)時(shí)間1～3h。麻醉前按照隨機(jī)數(shù)字表法分組將一次性氣管導(dǎo)管頭端分別涂以0．9％氯化鈉溶液、石蠟油或l丁卡因凝膠，實(shí)施標(biāo)準(zhǔn)的全身麻醉和鎮(zhèn)痛方案。于拔除氣管導(dǎo)管后10min、術(shù)后1h、術(shù)后24h由不知道分組情況的觀察者記錄患者咽喉痛和術(shù)后聲音

2、嘶啞的發(fā)生情況。結(jié)果丁卡因凝膠組術(shù)后各時(shí)間點(diǎn)的咽喉痛發(fā)生率均顯著低于0．9氯化鈉溶液組和石蠟油組(P值均O．05)。3組間術(shù)后各時(shí)間點(diǎn)的咽喉痛分級(jí)的差異均有統(tǒng)計(jì)學(xué)意義(P值均

3、icantsapplledovertrachealtubeonpostoperativesorethroatinpatientsundergeneralanesthesiaLIUHailian，HUANGShaoqiang，WANGMeihua．DepartmentofAnesthesiology，ObstetricsandGenecologyHospital，F(xiàn)udanUniversity，Shanghai200090，ChinaCorrespondingauthor：HUANGShaoqiang．E-mail：timrobbins71@163．com[Abstract]Objectiv

4、eToinvestigatetheefectsofdiferentlubricantsappliedovertrachealtubeonpostoperativesorethroataftergeneralanesthesia．MethodsOnehundredandfiftypatients(aged20—60years，weighing50—70kg，AmericanSocietyofAnesthesioIogistsgradeIorⅡ)undergoingelectivegynecologicallaparoscopicsurgeryunderstandardgeneralanaes

5、thesiawereenrolledinthisprospective，double-blindandcontrolledstudyandrandomizedintothreegroups：parafinoil，tetracainejelly，andnormalsalinegroups．0．9％sodiumchloridesolution，parafinoiland1％tetracainejellywereappliedbeforeanesthesiaontheheadoftrachealtube·respectively．Thesurgerylastedfor1—3h．Ablindedo

6、bserverinterviewedallpatientsonpostoperativesorethroatandhoarsenessat10min，1hand24hafteroperation．ResuItsTheincidencesandseverityofsorethroatinthetetracainegroupweresignificantlylowerthanthoseintheothertwogroupsaftersurgery(allP<0．05)，whiletherewasnosignificantdiferencebetweenthesalinegroupandthep

7、arafinoilgroup(allP>0．05)．Therewasnosignificantdiferenceintheincidencesofhoarsenessat1hafteroperationbetweenthethreegroups(P=0．136)．NopatientsuferedfrOmhoarsenessat24haftersurgery．ConclusionComparedwithnormalsali