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不同重量的口香糖在手术前对全甲状腺切除术后喉痛的影响:一项随机对照试验
Shiya Zou1, Lulu Guo2, Chao Xu3
1Department of Anesthesia, Capital Institute of Pediatrics Affiliated Children's Hospital, Beijing, China.
World journal of surgery
|January 29, 2024
概括
手术前的口香糖可以减少麻醉后的喉刺激. 一项研究发现,在接受甲状腺切除术的患者中,2.8克口香糖显著降低了中度至严重的术后喉痛 (POST) 的发生率.
科学领域:
- 麻醉学 麻醉学
- 手术并发症 手术并发症
- 口腔健康 口腔健康
背景情况:
- 手术后喉痛 (POST) 是手术后的一个常见并发症.
- 口腔可以通过口香糖来清洁和滑,这可能会减轻POST.
研究的目的:
- 调查手术前口香糖在减少POST发病率方面的有效性.
- 为了确定不同剂量的口香糖是否对POST有不同的影响.
主要方法:
- 一项随机对照试验,涉及148名接受全甲状腺切除术的患者.
- 参与者被分配在手术前两分钟内吞下唾液或1.4g或2.8g的口香糖.
- 在手术后的1,24小时和48小时,使用数值评分表来评估POST严重程度.
主要成果:
- 在两组之间观察到POST发病率的显著差异 (74%为对照组,65%为1.4g,50%为2.8g;P=0.04).
- 与对照组相比,2.8克口香糖组的中度/重度POST发生率明显较低 (OR=0.351,P=0.02).
结论:
- 在全甲状腺切除术前2.8克口香糖是一种有效的方法,可以减少中度至重度POST的发生率.
- 在手术前口香糖是一种简单的,潜在的有益的干预措施,用于管理常见的外科副作用.
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