和PVC管管道输管在甲状腺手术后术后喉痛的影响:一项随机对照试验
Die Qiu1,2, Bin Gu2, Siqun Xiao1,2
1Postgraduate Training Base Alliance of Wenzhou Medical University (Zhejiang Cancer Hospital), Hangzhou, Zhejiang, 310022, China.
BMC anesthesiology
|December 7, 2025
概括
与聚乙烯 (PVC) 管相比,烯气管在甲状腺手术后24小时内显著降低了术后喉痛 (POST) 的发生率. 这项研究强调了管作为减少呼吸道创伤和不适的潜在更好的选择.
科学领域:
- 麻醉学 麻醉学
- 手术并发症 手术并发症
- 医疗器械研究 医疗器械研究
背景情况:
- 手术后喉痛 (POST) 是甲状腺手术后的一个常见并发症.
- 气管提供比聚乙烯 (PVC) 管更大的灵活性,可能减少气道创伤.
研究的目的:
- 为了比较甲状腺手术期间在和PVC气管管之间手术后24小时内发生POST的发生率.
主要方法:
- 182名接受甲状腺手术的ASA I-II患者被随机分为 (n=91) 或PVC (n=91) 气管组.
- POST发生率是主要结局,定义为24小时内至少发生一次发作 (得分≥1).
- 其次性结局包括声,头,咳,PONV,支气管,喉.
主要成果:
- 在24小时内POST的发生率为管的79%,而PVC管的90% (OR:0.40,p=0.034).
- 手术后1小时声的发病率和严重程度在组较低 (OR:0.12,p=0.044),但在6小时或24小时没有发现差异.
- 在两组之间的其他次要结果中没有发现显著差异.
结论:
- 与PVC管相比,在甲状腺手术后24小时内,烯气管与术后喉痛的发病率较低.
- 研究结果表明,在这种手术背景下,管可能更好地减少呼吸道创伤和患者的不适.
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