甲状腺癌术后咽喉部干痛的发生状况及影响因素  

Occurrence and influencing factors of laryngopharyngeal dry and pain after thyroid cancer surgery

作　　者：边刚[1] BIAN Gang(Department of General Surgery,Affiliated Central Hospital of Shenyang Medical College,Shenyang,Liaoning,110000,China)

机构地区：[1]沈阳医学院附属中心医院普外科,辽宁沈阳110000

出　　处：《当代医学》2022年第2期113-115,共3页Contemporary Medicine

摘　　要：目的探讨甲状腺癌术后咽喉部干痛的发生状况及影响因素。方法选取2018年8月至2020年8月本院收治的100例甲状腺癌患者,所有患者均接受手术治疗,根据术后是否发生咽喉部干痛,分为发生组(n=25)与未发生组(n=75)。统计所有患者临床资料,并将可能的影响因素纳入,经单因素与多因素分析找出甲状腺癌患者术后发生咽喉部干痛的相关影响因素。结果100例患者中,有25例发生咽喉部干痛,占25.00%;75例未发生咽喉部干痛,占75.00%;经Logistic回归分析检验结果显示,手术套囊压力>30 mmHg、术中普通喉镜插管、甲状腺腺体切除量>1/2均为甲状腺癌患者术后发生咽喉部干痛的危险因素(OR>1,P<0.05)。结论甲状腺癌术后患者咽喉部干痛的发生率较高,其中手术套囊压力>30 mmHg、术中普通喉镜插管、甲状腺腺体切除量>1/2均为重要的影响因素,临床需重视,可根据此结果及时拟定针对性的防治策略,以降低甲状腺癌术后咽喉部干痛的发生率。Objective To investigate the occurrence and influencing factors of laryngopharyngeal dry and pain after thyroid cancer surgery.Methods 100 patients with thyroid cancer treated in our hospital from August 2018 to August 2020 were selected,all patients underwent surgical treatment,according to whether laryngopharyngeal dry and pain occurs after operation,they were divided into occurrence group(n=25)and non occurrence group(n=75),the clinical data of all patients were counted,and included possible influencing factors,by univariate and multivariate analysis,the related influencing factors of postoperative laryngopharyngeal dry and pain in patients with thyroid cancer were found out.Results Among the 100 patients,25 cases had laryngopharyngeal dry and pain,accounting for 25.00%;75 cases did not have laryngopharyngeal dry and pain,accounting for 75.00%;through Logistic regression analysis,the results showed that,surgical cuff pressure>30 mmHg,intraoperative common laryngoscope intubation and thyroid gland resection volume>1/2 were the risk factors for postoperative laryngopharyngeal dry and pain in patients with thyroid cancer(OR>1,P<0.05).Conclusion The incidence of laryngopharyngeal dry and pain in postoperative patients with thyroid cancer is high,among which the surgical cuff pressure>30 mmHg,intraoperative common laryngoscope intubation and thyroid gland resection volume>1/2 are important influencing factors,clinical attention should be paid to,according to this result,targeted prevention and treatment strategies can be formulated in time in order to reduce the incidence of laryngopharyngeal dry and pain after thyroid cancer surgery.

关 键 词：甲状腺癌 咽喉部干痛 手术套囊压力 普通喉镜插管量 甲状腺腺体切除量 

分 类 号：R736.1[医药卫生—肿瘤]