摘要
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。
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 .
出处
《中国基层医药》
CAS
2014年第20期3103-3104,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
麻醉
全身
喉镜
插管法
气管内
疼痛
手术后
Anesthesia, general
Laryngoscopes
Intubation, intratracheal
Pain, postoperative
