雾化德克萨米他与静脉注射德克萨米他用于预防术后喉痛:一项干预性研究
Debahuti Chatterjee1, Shweta Sinha, Laxmi Shenoy
1Department of Anaesthesiology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.
在全身麻醉和内管注射后,雾化德克萨米松有效降低了术后喉疼痛 (POST). 静脉注射德克萨梅他会增加葡萄糖水平,使得雾化剂作为预防POST的潜在选择.
科学领域:
- 麻醉学
- 药理学
背景情况:
- 术后喉疼痛 (POST) 和葡萄糖失调是全身麻醉 (GA) 后的常见并发症.
- 德克萨梅他用于减轻这些影响,但其最佳施用途径 (静脉注射与雾化) 需要调查.
研究的目的:
- 为了比较术前雾化与静脉注射德克萨米在预防POST方面的疗效.
- 评估这些给药方式对术后血糖调节的影响.
主要方法:
- 这是一项前性,单盲,随机对照试验,涉及138名参与者接受内管输液治疗.
- 参与者被随机分为三个组:对照组,雾化德克萨梅他组和静脉注射德克萨梅他组.
- 评估了POST发生率,Cormack-Lehane分级,输管试验和一般随机血糖 (GRBS) 水平.
主要成果:
- 与对照组和静脉注射组相比,雾化德克萨米松显著降低了POST发生率 (P = 0. 001).
- 静脉注射德克萨米他导致术后GRBS水平明显高于雾化德克萨米他 (P=0. 001).
- 在喉视图或输管试验中没有观察到显著的差异.
结论:
- 在手术前 nebulized 德克萨梅他是有效的减少 POST 在葡萄糖代谢的最小影响.
- 静脉注射德甲可能导致术后血糖水平的不良升高.
- 在经过内管输入治疗的GA患者中,雾化德克萨米松是治疗POST的有希望的替代方案.
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