地塞米松静脉给药应用于腹腔镜胆囊切除术后气道并发症影响探究

Effect of dexamethasone intravenous administration on airway complications after laparoscopic cholecystectomy

目的 观察地塞米松静脉给药在腹腔镜胆囊切除术后气道并发症中的应用效果。方法 选择浙江省温岭中医院收治并拟行腹腔镜胆囊切除术的患者66例作为本次研究的对象,将其分为对照组和观察组,各33例,其中在麻醉诱导前,对照组患者推注生理盐水2 ml,观察组患者静脉推注地塞米松10 mg。观察2组患者治疗后不同时间段咽喉疼痛发生率和咽喉疼痛程度。结果 对照组患者和观察组患者在拔管后1 h、4 h、12 h以及24小时各时间段中的咽喉疼痛的发生率差异对比无统计学意义。对照组患者在第1天VAS评分与对照组相比无统计学差异,第2天到第5天VAS评分均低于对照组患者（P〈0.05）。结论 地塞米松静脉给药在减少腹腔镜胆囊切除术后气道并发症方面无明显的应用效果。

Objective To observe the effect of intravenous administration of dexamethasone on airway complications after laparoscopic cholecystectomy （LC）. Methods 66 patients who were treated with laparoscopic cholecystectomy in Wenling hospital of traditional Chinese medicine were divided into the control group and the observation group, 33 cases in each group. The control group were injected with saline 2 mL and the observation group were received dexamethasone 10mg by intravenous infusion. The incidence of complications and complications were observed in the two groups at different times after treatment. Results At 1 hours, 4 hours, 12 hours and 24 hours after extubation, the differencesof the incidence of sore throat and throat pain degree between the two groups was not statistically significant. Conclusion Dexamethasone intravenous administration has no obvious effect on reducing airway complications after laparoscopic cholecystectomy.