心脏手术术后气管插管带管时间对声音嘶哑的影响  

The effect of postoperative intubation time on the incidence of hoarseness after cardiac surgery

作　　者：陈唯韫[1] 袁明霞[2] 林秀侠 苗齐 黄宇光[1] 

机构地区：[1]中国医学科学院北京协和医院麻醉科,北京100730 [2]河北北方学院附属第一医院麻醉科,河北张家口075000 [3]河北省唐山市遵化第二医院麻醉科,河北唐山064200 [4]中国医学科学院北京协和医院心脏外科,北京100730

出　　处：《基础医学与临床》2015年第6期822-824,共3页Basic and Clinical Medicine

摘　　要：目的分析在气管插管全身麻醉下接受心脏手术的患者术后发生声音嘶哑的情况及其影响因素。方法回顾性分析2014年1月至2014年12月间在北京协和医院接受心脏手术患者的围术期资料,按照是否出现术后声音嘶哑分为声嘶组与对照组,分别统计两组患者的一般情况、手术麻醉信息、术后带管时间并作统计学分析;根据患者的带管时间分组,分别统计其声音嘶哑发病率并进行相关性分析。结果在218例纳入研究的患者中,共有12例出现声音嘶哑,其平均术后带管时间显著长于对照组(P<0.01);且声音嘶哑的发生率随术后带管时间延长而增加(P<0.05)。结论在行心脏手术的患者中,发生声音嘶哑患者的术后带管时间较长,且声音嘶哑发生率随带管时间延长而升高。Objective To analyze the incidence and influencing factors of postoperative hoarseness among patients undergoing general anesthesia.Methods The perioperative data of patients underwent cardiac surgeries under general anesthesia with endotracheal intubation from January 2014 to December 2014 in Peking Union Medical College Hospital were analyzed.Patients were divided into hoarseness group and control group based on whether presented with postoperative hoarseness respectively.The general information,operation and anesthesia data,and postoperative intubation time were investigated.Patients were then allocated to different groups according to postoperative intubation time and the incidence of hoarseness were calculated.The effect of intubation time on hoarseness incidence was examined by correlation analysis subsequently.Results Totally 218 patients were enrolled in the study,and a total of 12 patients developed with postoperative hoarseness.The average postoperative intubation time of the hoarseness group was significantly longer than the control group （P ＜ 0.01）.Spearman rank correlation analysis confirmed the positive effect of prolonged postoperative intubation time on hoarseness incidence （P ＜ 0.05）.Conclusions In patients undergoing cardiac surgeries,the postoperative intubation time of the patients with hoarseness is significantly longer.Also,the incidence of postoperative hoarseness increases with prolonged intubation time.

关 键 词：全身麻醉 气管插管 术后带管时间 声音嘶哑 

分 类 号：R614.2[医药卫生—麻醉学]