全麻气管插管患者术后咽喉痛分层预防管理方案的构建及应用

Development and implementation of a stratified management model for postoperative sore throat in patients under general endotracheal anesthesia

目的构建全麻气管插管患者术后咽喉痛预防管理方案,评价应用效果。方法将266例全麻气管插管手术患者按时间段分为对照组142例、干预组126例。对照组行常规护理,干预组采用基于循证方法构建的术后咽喉痛分层预防管理方案。结果干预组术后咽喉痛发生率及咽喉痛程度显著低于对照组,舒适度评分显著优于对照组,相关不良事件发生率显著低于对照组,脊柱科、妇科、泌尿外科、胸外科手术患者进食时间显著早于对照组(均P<0.05)。结论基于循证方法构建的术后咽喉痛分层预防管理方案用于全麻气管插管患者,可降低术后咽喉痛发生率和减轻疼痛程度,提高患者舒适度,降低相关不良事件发生率。

Objective To develop a stratified management model for postoperative sore throat(POST)in patients under general endotracheal anesthesia,and to explore the application effect.Methods A total of 266 patients were allocated into a control group of 142 and an intervention group of 126 chronologically.The control group was given usual care,while the intervention group received evidence-based stratified management protocol for POST.Results Compared with the control group,the incidence and severity of POST,as well as the incidence of adverse events were significantly lower,whereas the comfort score was significantly higher in the intervention group(all P<0.05).The timing of food intake was significantly earlier in the departments of spine surgery,gynecology,urology,and thoracic surgery in the intervention group than the control group(all P<0.05).Conclusion Evidence-based stratified management protocol for POST can reduce incidence and severity of POST in patients undergoing surgery under general endotracheal anesthesia,improve their comfort,and decrease adverse events.