双边完整的鼻子包装在鼻腔外科手术后排气状态的影响
Tooba Khanum1, Sadaf Zia2, Deepak Rai2
1Department of ENT, Head and Neck Surgery, Jinnah Medical and Dental College, Karachi, Pakistan.
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|February 14, 2026
概括
双边封闭性鼻塞并没有显著增加鼻腔外科手术后输出管时的呼吸困扰. 吸烟者面临更高的风险困难的输出管,无论鼻包装.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 麻醉学 麻醉学
- 呼吸系统医学 呼吸系统医学
背景情况:
- 鼻腔手术和全身麻醉有风险的呼吸系统事件在输出管.
- 鼻包装通常在鼻腔外科手术后使用,但其对输出管安全性的影响仍在争论中.
- 输出管期间的呼吸困扰是气道管理中的一个关键问题.
研究的目的:
- 为了比较患有双侧闭塞鼻包装和没有双侧闭塞鼻包装的鼻腔外科手术的患者在输出管过程中发生的桌上呼吸事件的发生率.
- 在这个患者群体中识别出输出管时呼吸困扰的危险因素.
主要方法:
- 一项实验性研究涉及410名接受鼻外科手术的患者,分为两组:带有和没有双边封闭性鼻包装.
- 主要结局是在输出管时出现呼吸困扰,需要进行干预.
- 统计分析包括千平方和费舍尔的精确测试,p值<0.05被认为是显著的.
主要成果:
- 需要干预的呼吸困难发生在鼻包装组的6.8%,而非包装组的10.2%.
- 吸烟者具有明显更高的难以排泄的风险 (RR 2.7,p=0.001).
- 无论鼻腔包装 (p=0.053) 是否,男性表现出较差的输出输出结果趋势.
结论:
- 双边封闭性鼻包装似乎不会增加鼻腔外科手术后输出管时的呼吸困难.
- 吸烟者代表了一个高风险群体,难以排气.
- 建议对高风险患者进行仔细的呼吸道管理,进行手术前咨询,并避免完全封闭鼻腔.
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