Current status and influencing factors of postoperative sore throat in patients undergoing general anesthesia with double-lumen endotracheal intubation
10.3760/cma.j.cn115682-20210512-02054
- VernacularTitle:双腔气管插管全身麻醉手术患者术后咽喉痛现状及影响因素分析
- Author:
Yue GUO
1
;
Hong CHEN
;
Man HU
;
Mengqin LIU
;
Lexuan LI
Author Information
1. 华中科技大学同济医学院附属同济医院手术室，武汉 430030
- Keywords:
Postoperative;
General anesthesia;
Tracheal intubation;
Sore throat;
Hoarseness
- From:
Chinese Journal of Modern Nursing
2021;27(34):4650-4654
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the status of postoperative sore throat and hoarseness in patients undergoing general anesthesia with double-lumen endotracheal intubation and analyze its influencing factors.Methods:Using the convenient sampling method, a total of 129 patients with double-lumen endotracheal intubation who underwent elective surgery in a Class Ⅲ Grade A general hospital in Wuhan in Hubei Province from July to December 2020 were selected as the research objects. The general information questionnaire, Visual Analogue Scale (VAS), Labial and Tongue Mucosa Scale and Hoarse Voice Scale were used to investigate the patients.Results:The incidence of sore throat in 129 patients with double-lumen endotracheal intubation at 1, 6, 24, 48 and 72 hours after surgery were 68.22%, 44.96%, 76.74%, 64.34% and 48.84%, respectively. Among them, the incidences of sore throat in resting state were respectively 10.9%, 6.2%, 1.6%, 0 and 1.6%, incidences of sore throat in swallowing state were respectively 18.6%, 8.5%, 3.1%, 0 and 0, and the incidences of hoarseness were respectively 66.67%, 45.74%, 78.29%, 65.89% and 48.84%. There were statistically significant differences in the occurrence of hoarseness in patients of different ages and preoperative fasting time 1 hour after extubation ( t=2.499, 2.106; P<0.05). The VAS scores of patients with hoarseness in resting state and swallowing state were higher than those in patients without hoarseness, and the differences were statistically significant ( t=3.688, 2.818; P<0.01). Correlation analysis showed that hoarseness was negatively correlated with the condition of lip and tongue mucosa ( r=-0.309, P<0.01) . Conclusions:The incidence of postoperative throat pain in patients undergoing general anesthesia with double-lumen endotracheal intubation is high. With the extension of time, pain can be gradually relieved. The self-healing effect of hoarseness over time is not ideal. Advanced age, prolonged water fasting before operation and dry lip and tongue mucosa are the influencing factors of postoperative sore throat. Early identification and effective measures should be given in nursing evaluation to reduce the occurrence of postoperative sore throat.
