CAJ | 학술논문

目的：探讨全麻术后声带麻痹的危险因素、引发原因，提出预防意见。方法回顾分析该院自2000年3月-2015年1月收治经全麻手术患者6482例，观察性别、年龄、手术类型、体型、麻醉管理等对全麻术后声带麻痹患者的影响。结果共确诊声带麻痹患者58例。留管时间（χ2=6.78）、体型（χ2=4.43）、麻醉管理（χ2=8.38）、插管难易度（χ2=11.71）、全麻次数（χ2=4.43）差异有统计学意义（P<0.05）。结论全麻术后声带麻痹引发原因以喉返神经损伤为主，危险因素较多，多为轻、中度损伤。充分了解患者术前情况、术中监护预防及掌握术后拔管指征及注意事项，可降低发生率。
목적：탐토전마술후성대마비적위험인소、인발원인，제출예방의견。방법회고분석해원자2000년3월-2015년1월수치경전마수술환자6482례，관찰성별、년령、수술류형、체형、마취관리등대전마술후성대마비환자적영향。결과공학진성대마비환자58례。류관시간（χ2=6.78）、체형（χ2=4.43）、마취관리（χ2=8.38）、삽관난역도（χ2=11.71）、전마차수（χ2=4.43）차이유통계학의의（P<0.05）。결론전마술후성대마비인발원인이후반신경손상위주，위험인소교다，다위경、중도손상。충분료해환자술전정황、술중감호예방급장악술후발관지정급주의사항，가강저발생솔。
Objective To explore the risk factors and causes of vocal cord paralysis after general anesthesia, causing reasons, and puts forward suggestions for its prevention. Methods 6482 patients who underwent general anesthesia in our hospital during March 2000 and January 2015 were retrospectively analyzed, and the impact of their gender, age, types of operation, size, and anesthesia management on vocal cord paralysis were observed. Results A total of 58 patients were confirmed with vocal cord paralysis, be-tween whom and the other patients, there were statistically significant differences in terms of indwelling catheter time, size, and anesthesia management, difficulty level, general anesthesia times, P < 0.05. Conclusion Recurrent laryngeal nerve injury is the main cause of vocal cord paralysis after general anesthesia which has many kinds of risk factors that can always lead to mild and moderate damage. We can reduce its incidence by fully understanding the preoperative condition, strengthening intraoperative monitoring and mastering the indications for extubation.