摘要
目的分析双腔气管插管全身麻醉患者术后发生咽痛的危险因素。方法选取2021年7月至2022年6月医院收治的双腔气管插管全身麻醉患者92例为研究对象,评价术后72 h咽痛发生率,并调查患者的一般资料,分析双腔气管插管全身麻醉患者术后发生咽痛的危险因素。结果92例双腔气管插管全身麻醉患者中51例发生术后咽痛,发生率为55.43%。Logistic回归分析结果显示,气管导管套囊压力≥30 cmH2O、普通喉镜插管、插管时间≥4 h、术中吸痰次数≥3次、术前未雾化吸入药物是双腔气管插管全身麻醉患者术后发生咽痛的危险因素(OR>1,P<0.05)。结论双腔气管插管全身麻醉患者术后咽痛发生风险较高,可能受气管导管套囊压力、喉镜类型、插管时间、术中吸痰次数、术前雾化吸入药物因素影响。
Objective The risk factors for postoperative pharyngeal pain in patients undergoing general anesthesia with double lumen tracheal intubation were analyzed.Methods 92 patients with double lumen tracheal intubation undergoing general anesthesia admitted to the hospital from July 2021 to June 2022 were selected as the study subjects to evaluate the incidence of pharyngeal pain within 72 hours after surgery,and to investigate the general information of patients,the risk factors for postoperative pharyngeal pain in patients undergoing general anesthesia with dual lumen tracheal intubation were analyzed.Results Among 92 cases of general anesthesia with double lumen tracheal intubation,51 cases had postoperative sore throat,with an incidence of 55.43%.The results of Logistic regression analysis show that tracheal tube capsule pressure≥30 cmH2O,general laryngoscopic intubation,intubation time>4 h,intraoperative aspiration≥3 times,and preoperative non nebulized inhalation of drugs were risk factors for postoperative pharyngeal pain in patients undergoing dual lumen tracheal intubation general anesthesia(OR>1,P<0.05).Conclusion There is a higher risk of postoperative pharyngeal pain for the patients undergoing general anesthesia with double lumen tracheal intubation,which may be influenced by factors such as the pressure of the tracheal catheter cuff,the type of laryngoscope,intubation time,the times of intraoperative sputum aspiration and the condition of preoperative aerosol inhalation of drugs.
作者
熊妍
Xiong Yan(The Second Affiliated Hospital of Nanchang University,Nanchang Jiangxi 330006,China)
出处
《医疗装备》
2023年第12期65-67,共3页
Medical Equipment
关键词
双腔气管插管
全身麻醉
术后咽痛
危险因素
Double lumen tracheal intubation
General anaesthesia
Postoperative sore throat
Risk factors
