Retrospective study of postoperative odynophagia in elderly patients undergoing intraoperative transoesophageal echocardiography examination for cardiac surgery
10.3760/cma.j.issn.0254-9026.2013.10.020
- VernacularTitle:心脏手术中经食道超声心动图检查的老年患者术后吞咽痛研究
- Author:
Hui YU
;
Shuzhen ZHOU
;
Mingzhang ZUO
- Publication Type:Journal Article
- Keywords:
Cardiac surgery;
Echocardiography,transesophageal;
Odynophagia
- From:
Chinese Journal of Geriatrics
2013;32(10):1098-1100
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the influencing factors for postoperative odynophagia in elderly patients undergoing intraoperative transesophageal echocardiography (TEE) examination for cardiac surgery.Methods A total of 96 patients with intraoperative TEE examination for cardiac surgery was divided into two groups:the elderly group (patients aged ≥65 years,n=60) and the young group (patients aged ＜ 65 years,n =36).Clinical data were retrospectively analyzed.Postoperative odynophagia was assessed by number rating scale (NRS) scores.Characteristics of postoperative odynophagia were compared between the two groups.Influencing factors for postoperative odynophagia were analyzed by multivariable logistic regression analysis.Results The incidence of postoperative odynophagia and the average NRS score were higher in the elderly group thanin the young group [88.3％ vs.66.7％,(2.6±1.7) vs.(1.4±0.9),P＜0.05 or 0.01].Multivariate logistic regression analysis showed that preoperative oral lidocaine plasmagel,oropharyngeal mucosal injury and duration of TEE insertion were independent influencing factors for postoperative odynophagia (all P＜0.01).Conclusions The incidence of postoperative odynophagia is higher and the degree of odynophagia is more serious in elderly patients undergoing intraoperative TEE examination for cardiac surgery.Postoperative odynophagia can be relieved by applying the preoperative oral lidocaine plasmagel,reducing oropharyngeal mucosal injury and shortening the duration of TEE insertion.
