早期少量饮水对气管插管全身麻醉患者术后咽喉部疼痛的影响  

Effect of early drinking on postoperative sore throat in patients with tracheal intubation under general anesthesia

作　　者：倪益益 陆巍 王亚萍[3] 朱竺枝[1] 季娟[1] NI Yiyi;LU Wei;WANG Yaping;ZHU Zhuzhi;JI Juan(Department of Neurosurgery,Affiliated Hospital of Jiangsu University,Zhenjiang,Jiangsu,212000;Department of Nursing,Nanjing Drum Tower Hospital,Nanjing,Jiangsu,210008;Jiangsu University,Zhenjiang,Jiangsu,212013)

机构地区：[1]江苏大学附属医院神经外科,江苏镇江212000 [2]江苏省南京鼓楼医院护理部,江苏南京210008 [3]江苏大学,江苏镇江212013

出　　处：《中西医结合护理（中英文）》2018年第11期120-123,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探讨早期少量饮水对气管插管全身麻醉(全麻)患者术后咽喉部疼痛感的影响。方法 80例经口腔气管插管全麻行神经外科择期手术患者随机分为观察组和对照组,各40例。对照组术后常规口腔护理,观察组在对照组基础上于术后患者清醒状态下早期即给予饮水。观察2组术后清醒1 h、2 h、6 h、12 h和24 h咽喉部疼痛发生率及分级程度、咽喉黏膜红肿发生率及分级程度。比较2组患者舒适程度。结果观察组术后清醒1 h、2 h、6 h、12 h和24 h咽喉疼痛发生率均较对照组低(P <0. 05)。术后2组患者咽喉部红肿均逐渐缓解,观察组咽喉部红肿改善优于对照组,术后清醒24 h2组差异有统计学意义(P <0. 05)。观察组术后清醒1 h、2 h、6 h、12 h和24 h极不舒适率均低于对照组,其中术后清醒2 h和24 h比较,2组差异有统计学意义(P <0. 05)。结论气管插管全身麻醉患者术后清醒状态下早期饮水可减轻咽喉疼痛感及咽喉黏膜红肿度,提高术后的舒适度。Objective To investigate the effect of early drinking on postoperative throat pain in patients with tracheal intubation under general anesthesia.Methods Totally 80 patients with tracheal intubation under general anesthesia for neurosurgery were assigned to the observation group and the control group,with 40 cases in each group.Patients of both two groups received routine oral care,and those in the observation were allowed to drink water in the awakened state.The incidence and severity of sore throat and edematous swelling of the throat mucosa were assessed at 1,2,6,12 and 24 hours during anesthesia recovery period.The satisfactory degree of patients was evaluated and compared between two groups.Results The incidence of sore throat in the observation group was lower than that in the control group at 1,2,6,12 and 24 hours during anesthesia recovery period,respectively (P<0.05).Compared with the control group,the observation group showed a better improvement in relieving swelling of the throat mucosa at 24 hours of anesthesia recovery period (P<0.05).There were fewer patients with extremely uncomfortable feeling in the observation group than those in the control group during anesthesia recovery period,and with significant difference between two groups at 2 hours and 24 hours (P<0.05).Conclusion Early water drinking can relieve the postoperative sore throat and swelling of the throat mucosa in patients with tracheal intubation under general anesthesia.

关 键 词：神经外科 全身麻醉 气管插管 咽喉 疼痛 口腔护理 

分 类 号：R473.6[医药卫生—护理学]