气管插管全麻术后环杓关节脱位相关因素分析

Analysis of Correlation Factors for Dislocation of Cricoarytenoid Joint after Tracheal Intubation and Surgery

目的探讨气管插管全麻术后环杓关节脱位的相关因素。方法以2012年6月~2017年6月本院气管插管全麻术后环杓关节脱位的患者31例为试验组,并在同期气管插管全麻术后未出现声音嘶哑的患者中随机选择35例做对照组,回顾性分析气管插管全麻术后环杓关节脱位的相关因素。结果经Logistic回归分析,患者的年龄、体重指数及Cormack-Lehane评分、可视麻醉喉镜辅助、插管时呛咳、胃管留置为气管插管全麻术后环杓关节脱位的主要影响因素(P<0.05)。结论引起气管插管全麻术后环杓关节脱位的影响因素诸多,插管前需评估风险,并采取积极有效预防措施,尽量避免出现环杓关节脱位。

Objective To investigate the factors for dislocation of cricoarytenoid joint after general anesthesia with tracheal intubation and surgery.Methods Clinical date of 31 cases with cricoarytenoid dislocation from June 2012 to June 2017 in our hospital after general anesthesia with endotrachealintubation and surgery were chosen for experimental group, and 35 cases with no hoarseness after general anesthesia with endotracheal intubationwere randomly selected as control group in the same time. The related factors for cricoarytenoid joint dislocation was analyzed retrospectively.Results Logistic regression analysis showed that age, body mass index, Cormack-Lehane score, intubation with visual anesthesia laryngoscope,and gastric tube indwelling were the main influencing factors of cricoarytenoid joint dislocation after general anesthesia with tracheal intubation andsurgery （P〈0.05）. Conclusion There are many factors that can cause cricoarytenoid arytenoid dislocation after general anesthesia with endotrachealintubation and surgery. Preoperative risk should be evaluated before tracheal intubation, and active and effective preventive measures should be takento avoid the dislocation of cricoarytenoid joint.