在用光纤视野镜观察眼球时输管是否可以减少手术后喉疼痛?
Maho Goto1, Masanori Tsukamoto2, Kazuya Matsuo3
1Department of Dental Anesthesiology, Graduate School of Dental Science, Kyushu University, Fukuoka, Japan.
BMC anesthesiology
|November 18, 2024
概括
在口腔手术期间用光纤镜观察鼻管的尖端并没有显著减少术后喉痛或声. 与传统方法相比,这种技术在患者康复方面没有差异.
科学领域:
- 麻醉学 麻醉学
- 口腔和牙面部外科手术
背景情况:
- 鼻腔输管是口腔面手术的标准,但术后喉痛和声是常见的并发症.
- 之前报道的一种光纤技术可视化了管尖以防止碰撞,但其对并发症的影响尚不清楚.
研究的目的:
- 为了追溯确定"观察性"光纤镜技术对经过鼻腔输管输管后术后喉疼痛的影响.
主要方法:
- 对104名接受口腔大面部手术的成年患者进行了回顾性分析.
- 传统和"观察性"光纤输管方法之间的比较,使用4.8毫米外径范围和6.5-8.0毫米的ID管.
- 收集的数据包括患者人口统计数据,麻醉细节,输管参数以及喉疼痛和声的发生率/严重程度.
主要成果:
- 传统 (n=51) 和观察 (n=53) 组之间的临床特征或麻醉数据没有显著差异.
- 术后喉痛,声和恢复时间的发生率在两组之间没有显著差异 (P > 0.44).
- 喉疼痛的视觉模拟尺度 (VAS) 评分在手术当天或第二天之间没有显著差异.
结论:
- "观察性"光纤扫描技术用于鼻内输管并不会影响术后喉疼痛或恢复.
- 这种技术在减少与鼻内输管相关的常见术后并发症方面似乎没有任何优势.
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