甲状腺手术后手术内头部催眠运动对喉痛的影响:一项随机对照试验
Linglin Gao1, Jiehao Sun1, Min Xu2
1Department of Anesthesiology, 1st Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
概括
在甲状腺手术期间,较低的头部倾斜角度显著减少了手术后的喉痛,并保护了语音功能. 这一发现为改善甲状腺切除术后患者康复提供了一种实际方法.
科学领域:
- 手术技术优化和优化手术技术的优化
- 患者的康复和结果.
背景情况:
- 手术后喉痛 (POST) 是甲状腺切除术后的一个常见并发症.
- 手术期间部过度伸展,通常是由肩膀滚动引起的头部过度伸展,与POST和语音损伤有关.
研究的目的:
- 在甲状腺切除术期间确定最佳的头部超延伸角度.
- 为了确定一个角度,尽量减少术后喉疼痛的强度.
- 为了保持术后的语音功能.
主要方法:
- 210名接受甲状腺切除术的患者随机分为高倾斜 (H组) 和低倾斜 (L组) 角度组.
- 主要结局:手术后6小时POST发生率.
- 二次结果:喉疼痛,语音功能,吞疼痛和咳.
主要成果:
- 与H组相比,L组的POST发病率明显低于H组.
- 组H经历了更严重的术后喉痛和吞疼痛.
- 在L组中减少了头部超延伸,防止了术后短暂的语音损伤.
结论:
- 较低程度的头部超延伸有效地减少甲状腺切除术后喉疼痛的严重程度.
- 优化头部超延伸角度可以改善术后语音功能和患者舒适度.
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