支撑喉镜下声门暴露困难和术后疼痛的预测分析

发布时间：2019-02-11 17:41

【摘要】：目的:探讨预测声门暴露困难的可靠指标,分析术后咽喉部疼痛与术中支撑喉镜使用时间及喉部和舌根所受压强的关系。方法:对50例实行支撑喉镜手术的患者术前测量和声门暴露可能相关的指标并进行统计学分析,包括:性别、年龄、体质指数、改良Mallampati分级、张口度、颈围、胸颏间距、甲颏间距、舌颏间距、水平甲颏间距、垂直甲颏间距、颈后仰度、甲颏夹角,术中记录声门暴露的Cormack-Lehane评分、声门暴露分级、暴露声门所需时间、手术持续时间、作用喉和舌根部的压力,术后记录咽喉部疼痛情况,并分析疼痛的相关因素。结果:体质指数≥25和全伸展体位下的甲颏间距6cm(均P0.05)是预测声门暴露困难的可靠指标;声门暴露所需时间[(1.96±1.28)min]及舌根和喉部所受压强[(292±109)mmHg]在声门暴露困难患者中显著增加,22例(44%)患者术后主诉喉痛,其程度和手术时间[(39±31)min]有关(P0.05),而和压强无关(P0.05)。结论:体质指数和全伸展体位下甲颏间距可作为预测声门暴露困难的可靠指标;术中喉部和舌根所受压强是术后咽喉部疼痛的一个重要因素,统计学表明仅手术时间和术后疼痛有显著相关性。
[Abstract]:Objective: to explore the reliable index of predicting glottic exposure difficulties and to analyze the relationship between postoperative larynx pain and the duration of operation of laryngoscope and the pressure on larynx and tongue root. Methods: preoperative measurements and glottic exposure were analyzed in 50 patients undergoing laryngoscopic surgery, including sex, age, body mass index, modified Mallampati grade, mouth opening, neck circumference, and mental distance. Cormack-Lehane score of glottis exposure, glottis exposure grade, duration of glottis exposure, duration of operation were recorded. The pressure of larynx and root of tongue was used to record the pain of larynx after operation and to analyze the related factors of pain. Results: body mass index (BMI) 鈮，

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