甲状腺手术后不充分报道的术后痛苦:缺食症,失声症和部疼痛-一个横截面研究
Hunduma Jisha Chawaka1, Zenebe Bekele Teshome1
1Ambo University, Anesthesiology, Ambo, Ethiopia.
Anesthesiology research and practice
|August 16, 2023
概括
甲状腺手术后,超过64%的患者经历了部疼痛,声音变化或吞困难. 术内低血压,更大的内管大小和更长的手术持续时间是这些常见投诉的关键风险因素.
科学领域:
- 麻醉学 麻醉学
- 外科手术的结果
- 患者的恢复 患者的恢复
背景情况:
- 甲状腺手术经常导致术后的声音变化,吞困难和部/喉疼痛.
- 这些常见的投诉往往没有得到足够的关注,特别是在手术和麻醉服务有限的地区.
研究的目的:
- 为了确定甲状腺手术后声音变化和相关投诉的流行率.
- 为了确定与这些术后问题相关的因素.
主要方法:
- 一项涉及151名接受甲状腺手术的患者的横截面研究.
- 数据收集发生在患者恢复意识后的术后.
主要成果:
- 64.9%的患者在手术后24小时内报告了声音变化,吞困难或部疼痛.
- 部疼痛 (52.3%),声音变化 (38.4%) 和吞困难 (37.7%) 是最常见的投诉.
- 吞困难与手术内低血压,全甲状腺切除术和更大的内管 (ETT) 尺寸有关.
- 声音变化与更大的ETT尺寸,超过2小时的手术持续时间和手术内低血压有关.
结论:
- 甲状腺切除术后的部疼痛和喉不适影响了超过64.9%的患者.
- 尽量减少手术内低血压,失血,ETT大小和手术持续时间至关重要.
- 手术后的患者安慰是一个重要的考虑因素.
相关概念视频
Aneurysm II: Clinical Manifestations and Diagnostic Studies
10
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
10
Chronic Pharyngitis
2.8K
Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
2.8K
Tonsillitis II: Management
135
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
135
Esophageal Strictures-II: Clinical Features and Management
103
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
103
Peripheral Artery Disease V: Postoperative Nursing Management
12
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
12
Esophageal Perforation-II: Clinical Manifestations and Management
88
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
88


