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术后喉痛:一个系统的审查.
Zachary J Moulder1,2, Jason Mann1,2,3, Paul Bramley1,3
1Department of Academic Anaesthesia, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
Anaesthesia
|October 28, 2025
概括
手术后喉痛影响了许多患者,但预防的证据有限. 保持特定的袖口压力和使用某些药物可以帮助减少其发生率.
科学领域:
- 麻醉学 麻醉学
- 患者安全 患者安全
- 术后护理 术后护理
背景情况:
- 手术后喉痛 (POST) 是一个常见的并发症,发病率高达62%.
- 它是导致患者不适的重要原因,并影响恢复.
- 目前的预防策略缺乏基于证据的强有力的建议.
研究的目的:
- 系统地审查旨在预防术后喉疼痛的干预措施.
- 综合各种预防措施有效性的证据.
- 确定需要进一步高质量研究的领域.
主要方法:
- 对关于POST预防的研究进行系统审查.
- 两个独立的审查员评估了研究资格和偏差风险.
- 由于研究群体,干预措施和结果的异质性,叙事综合.
主要成果:
- 包括162项研究 (21,199名患者).
- 在24小时内,合并后的POST发病率为气管管道输入器的16.4%,为气管上空气道装置的9.9%.
- 有效的干预措施包括袖口压力管理 (SGA≤60cmH2O,TT≤30cmH2O) 和用于气管的特定药物 (胺,类固醇,NSAID).
结论:
- 尽管POST发病率很高,但预防方面的高质量试验很少.
- 有效的策略,如袖口压力控制和特定药物的使用显示出希望.
- 未来的研究必须解决方法学上的局限性,以提供最终的指导.
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