气管插管全身麻醉外科手术后声音嘶哑的临床分析  

Clinical analysis of hoarseness after surgery under tracheal intubation general anesthesia

作　　者：刘志锋[1] 江青山[1] 彭静 罗兴谷 刘利军[1] Zhi-feng Liu;Qing-shan Jiang;Jing Peng;Xing-gu Luo;Li-jun Liu(Department of Otorhinolaryngology,the First Affiliated Hospital,University of South China,Hengyang,Hunan 421001,China)

机构地区：[1]南华大学附属第一医院耳鼻咽喉科,湖南衡阳421001

出　　处：《中国现代医学杂志》2018年第25期88-91,共4页China Journal of Modern Medicine

摘　　要：目的探讨气管插管全身麻醉外科手术后声音嘶哑的病因。方法回顾性分析2012年1月-2017年6月南华大学附属第一医院气管插管全身麻醉外科手术后声音嘶哑的90例病例资料。结果 90例患者中,一过性喉肌无力12.22%,声带炎21.11%,咽喉损伤5.56%,声带麻痹25.56%,环杓关节脱位35.56%,各组声音嘶哑原因中相关因素比较,差异有统计学意义(P<0.05)。结论环杓关节脱位和声带麻痹是气管插管全身麻醉外科手术后声音嘶哑的主要原因。Objective To investigate the cause of hoarseness after surgery under general anesthesia with tracheal intubation.Methods The clinical data of 90 cases with hoarseness after surgery under tracheal intubation general anesthesia in our department from January 2012 to June 2017 were analyzed retrospectively.Results A total of 90 cases were analyzed.The overall incidences of transient laryngeal myasthenia,chorditis,throat damage,vocal cord paralysis and cricoarytenoid joint dislocation were 12.22%,21.11%,5.56%,25.56%and 35.56%respectively.The P value of the factors related to hoarseness in each group was less than 0.05.Conclusions Cricoarytenoid joint dislocation and vocal cord paralysis are the main causes of hoarseness after surgery under general anesthesia with tracheal intubation.

关 键 词：气管插管 全身麻醉 声音嘶哑 声带麻痹 环杓关节脱位 

分 类 号：R767[医药卫生—耳鼻咽喉科]