气管插管后持续性声嘶原因的相关危险因素分析

Causes of Lasting Hoarseness and Its Original Factors Following Endotracheal Int ubation

目的 分析与气管插管后持续性声嘶原因相关的危险因素。方法 通过喉镜检查和杓状软骨拨动复位术治疗确定 78例患者的声嘶原因。从插管操作者技术水平、患者插管条件、年龄、留管时间及手术类别等方面探讨这些原因发生的危险因素。结果 71例声嘶原因为杓状软骨脱位 (91.0 3 % ) ,5例单侧声带麻痹 (6.41% ) ,2例喉内肉芽肿形成 (2 .65% )。声嘶发生在各年龄段所占比率无明显差别 ;留管时间 >12h的患者占全部声嘶患者17.95% ;心胸手术后声嘶占全部声嘶患者的 84.62 % ;与插管操作者技术或患者插管条件有关者占 76.64%。结论 插管技术。

Objective To research the causes of l asting hoarseness and its original factors due to endotracheal intubation. Methods The causes of hoarseness were investigated throug h the ex amination of laryngoscope and the results of therapy. The factors relevant to t he causes of hoarseness were analysed based on the elements as follows:①the age of patients;②the time of retentive endotracheal tube;③the types of operation; ④the technical skills of anesthetists and the anatomic or pathological conditi ons. Results Among 78 patients,71 cases showed arytenoid dis l ocation (91.03%),five cases vocal cord paralysis (6.41%),and two cases granuloma (2.56%). The study showed that there was no difference on the rate of hoarsenes s in various ages;the hoarseness rate of patients intubated for more than 12 hou rs was 17.64%;the hoarseness rate of pati ents after cardio-throacic operation was 84.64%.The hoa rseness in correlative with technical skills of anesthetists and anatomic or pat hological conditions accounted for 76.64%. Conclusion It seems that the high risk factors for lastin g hoarseness following endotracheal intubation are mainly related to the technic al skill of anesthetists, anatomic or pathological conditions of patients and di fferent kinds of operations.