中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2014年
20期
3103-3104
,共2页
麻醉,全身%喉镜%插管法,气管内%疼痛,手术后
痳醉,全身%喉鏡%插管法,氣管內%疼痛,手術後
마취,전신%후경%삽관법,기관내%동통,수술후
Anesthesia,general%Laryngoscopes%Intubation,intratracheal%Pain,postoperative
目的：探讨全身麻醉术中可视内窥镜与普通喉镜插管对术后咽喉疼痛的影响，为临床选择术式提供参考。方法选择320例实施全麻非颈部、非咽喉手术患者，按随机数表法分为对照组和观察组，各160例。两组实施相同插管方式，对照组患者辅助普通喉镜手术，观察组辅助可视内窥镜手术。对比两组患者手术指标及术后疼痛感。结果观察组气囊压力、麻醉时间、手术时间与对照组相近，差异无统计学意义（t＝0．834、0．943、1．034，均P＞0．05）；观察组术后2 h、24 h、48 h、96 h VAS评分分别为（11．93±2．04）分、（17.44±3．27）分、（3．88±0．83）分、（1．12±0．31）分，96 h 内咽喉出血7．50％，均明显低于对照组的（18．43±3．21）分、（22．55±4．19）分、（6．33±0．64）分、（3．29±0．58）分、17．50％，差异均有统计学意义（t＝7．493、5．773、4．834、7．231，χ2＝8．221，均P＜0．05）。结论可视内窥镜辅助插管可有效改善术后咽喉疼痛，临床可优先考虑使用此术式。
目的：探討全身痳醉術中可視內窺鏡與普通喉鏡插管對術後嚥喉疼痛的影響，為臨床選擇術式提供參攷。方法選擇320例實施全痳非頸部、非嚥喉手術患者，按隨機數錶法分為對照組和觀察組，各160例。兩組實施相同插管方式，對照組患者輔助普通喉鏡手術，觀察組輔助可視內窺鏡手術。對比兩組患者手術指標及術後疼痛感。結果觀察組氣囊壓力、痳醉時間、手術時間與對照組相近，差異無統計學意義（t＝0．834、0．943、1．034，均P＞0．05）；觀察組術後2 h、24 h、48 h、96 h VAS評分分彆為（11．93±2．04）分、（17.44±3．27）分、（3．88±0．83）分、（1．12±0．31）分，96 h 內嚥喉齣血7．50％，均明顯低于對照組的（18．43±3．21）分、（22．55±4．19）分、（6．33±0．64）分、（3．29±0．58）分、17．50％，差異均有統計學意義（t＝7．493、5．773、4．834、7．231，χ2＝8．221，均P＜0．05）。結論可視內窺鏡輔助插管可有效改善術後嚥喉疼痛，臨床可優先攷慮使用此術式。
목적：탐토전신마취술중가시내규경여보통후경삽관대술후인후동통적영향，위림상선택술식제공삼고。방법선택320례실시전마비경부、비인후수술환자，안수궤수표법분위대조조화관찰조，각160례。량조실시상동삽관방식，대조조환자보조보통후경수술，관찰조보조가시내규경수술。대비량조환자수술지표급술후동통감。결과관찰조기낭압력、마취시간、수술시간여대조조상근，차이무통계학의의（t＝0．834、0．943、1．034，균P＞0．05）；관찰조술후2 h、24 h、48 h、96 h VAS평분분별위（11．93±2．04）분、（17.44±3．27）분、（3．88±0．83）분、（1．12±0．31）분，96 h 내인후출혈7．50％，균명현저우대조조적（18．43±3．21）분、（22．55±4．19）분、（6．33±0．64）분、（3．29±0．58）분、17．50％，차이균유통계학의의（t＝7．493、5．773、4．834、7．231，χ2＝8．221，균P＜0．05）。결론가시내규경보조삽관가유효개선술후인후동통，림상가우선고필사용차술식。
Objective To compare the influence of visual endoscope and general laryngoscope under general anesthesia on postoperative sore throat , in order to provide reference for clinical surgery .Methods 320 patients under non-neck and non-throat surgeries were selected .They were randomly divided into the control group and obser-vation group,160 cases in each group.Same intubation was used in both the two groups ,general laryngoscope was used in the control group and visual endoscope was used in the observation group .Clinical indicators and pain score after surgery were compared between the two groups .Results The air pressure,time of anesthesia and operation time in the observation group were similar with the control group ,the differences were not significant (t =0.834,0.943, 1.034,all P>0.05); 2h,24h,48h,96h after surgery,the VAS scores in the observation group were (11.93 ± 2.04)points,(17.44 ±3.27)points,(3.88 ±0.83)points,(1.12 ±0.31)points,the incidence rate of throat bleed-ing within 96h was 7.50%,which were significantly lower than those in the control group [(18.43 ±3.21) points, (22.55 ±4.19)points,(6.33 ±0.64)points,(3.29 ±0.58)points,17.50%],there were significant differences (t=7.493,5.773,4.834,7.231,χ2 =8.221,all P<0.05).Conclusion Intubation with visual endoscope can decrease postoperative sore throat ,which can be a priority for clinical surgery .
