国际麻醉学与复苏杂志   2018, Issue (9): 0-0
    
成年人全身麻醉气管插管术后咽喉痛防治的研究进展
张晓敏, 杨宁, 彭雅雯, 黄英, 徐卉1()
1.湖北省武汉市同济医院麻醉科
Preventive strategies for postoperative sore throat following endotracheal intubation under general anesthesia in adults
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摘要:

背景 术后咽喉痛(postoperative sore throat, POST)是全身麻醉气管插管术后患者的一种常见并发症,尽管具有一定自限性,但大大降低患者的术后舒适度和满意度。因此,近年来此问题引起了麻醉医师的关注。 目的 综述防治POST的药物和非药物方法,以期为降低POST的发生率提供参考。 内容 对目前国内外常见的药物(利多可因、甾体类药物、非甾体类抗炎药物、其他)和非药物方法(套囊管理、管芯应用、气管导管软化)进行综述。 趋向 对于防治POST的方法进行深入了解有助于降低POST发生率,完善麻醉管理,提高患者舒适度和满意度。

关键词: 气管插管; 术后咽喉痛; 预防
Abstract:

Background Postoperative sore throat (POST) is a common complication following endotracheal intubation under general anesthesia. Although it is self-limiting, it greatly reduces postoperative comfortableness and satisfaction. Thus, in recent years, this issue has attracted much attention from anesthesiologists. Objective To summarize the pharmacological and non-pharmacological strategies for the prevention and treatment of POST in order to provide references for anesthesiologist to improve prognosis of patients undergoing endotracheal intubation. Content The currently available medications used for the intervention and treatment of POST include lidocaine, steroids, non-steroidal anti-inflammatory drugs, and others. There are some non-pharmacological methods being applied postoperatively, such as, capsule management, core application, and tracheal catheter softening. The efficacy of these methods to reduce the incidence of POST in patients underwent endotracheal intubation are individually summarized in this article. Trend Appropriate combination of pharmacological and non-pharmacological methods could minimize the distress of endotracheal intubation and prevent POST.

Key words: Endotracheal intubation; Postoperative sore throat; Prevention