在不同内肌袖口压力下喉后比较声和喉疼痛:双盲临床试验
Azar Arabkhazaie1, Zahra Sadeghi Noghabi2, Mehrsa Basiri Moghadam1
1Department of Operation Room, Gonabad University of Medical Sciences, Gonabad, Iran.
Journal of education and health promotion
|December 16, 2024
概括
这项研究发现,不同内肌袖口压力之间的喉疼痛或声没有显著差异. 然而,较高的压力显示出症状增加的趋势,这表明应根据患者的需要调整压力.
科学领域:
- 麻醉学 麻醉学
- 患者安全 患者安全
- 呼吸系统护理 呼吸系统护理
背景情况:
- 喉痛和声是常见的输管后并发症.
- 全身麻醉涉及内内管管道输入,这是一种可能产生不良影响的程序.
- 了解影响这些并发症的因素对于患者的舒适和康复至关重要.
研究的目的:
- 为了比较不同内肌袖口压力对麻醉后喉疼痛和声的影响.
- 为了确定特定的袖口压力范围是否会影响这些症状的发生率或严重程度.
- 提供基于证据的建议,以优化内肌管袖口管理.
主要方法:
- 一个双盲临床试验,涉及45名接受全身麻醉的患者.
- 参与者被随机分为三个具有不同内肌袖压力范围 (20-24,25-29,30-34厘米H2O) 的组.
- 喉痛和声被一名护士在术后评估.
主要成果:
- 在康复后24小时内,在所有组中观察到轻度声的高发病率.
- 大多数参与者在康复后24小时内出现轻度喉痛.
- 统计分析显示,内肌袖压力水平和声之间没有显著的相关性 (P > .05).
结论:
- 20-34厘米H2O的压力范围通常对喉疼痛和声是安全的.
- 较高的袖口压力 (组2和3) 显示出增加喉疼痛和声的趋势.
- 建议根据个体患者的需要调整内肌袖压力,以尽量减少不良影响.
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