摘要
目的:探讨布地奈德混悬液喷喉对于喉罩拔除后咽痛的疗效。方法:将90例使用喉罩的妇科和乳腺外科手术的患者,随机分为布地奈德组(A组,n=30)、生理盐水组(B组,n=30)和利多卡因组(C组,n=30)。患者完全清醒拔除喉罩后A组给予布地奈德混悬液1 ml(内含布地奈德0.5 mg)+生理盐水1 ml喷喉,B组给予生理盐水2 ml喷喉,C组给予2%利多卡因2 ml喷喉。分别记录喉罩置入的次数,喉罩置入至拔除时间,喉罩拔除后1 h(T1)、4 h(T2)、12 h(T3)、24 h(T4)的咽喉痛情况和严重程度。结果:3组患者年龄、体重、喉罩置入次数、喉罩置入至拔除时间差异无统计学意义(P>0.05)。A组与B、C两组相比在T1、T2、T3时间点疼痛分级的差异有统计学意义(P<0.05)。结论:布地奈德混悬液喷喉对于喉罩拔除后的患者可有效降低术后24 h内咽痛发生率,同时明显减轻咽痛程度。
Objective：To observe the effect of budesonide suspension spray to the throat sore after the removal of the laryngeal mask .Methods：Ninety patients scheduled for gynecological and mammary surgery with the laryngeal mask airway management , were randomly assigned into three groups： the budesonide group （ group A, n=30 ） , which received 1 ml budesonide suspension （ containing 0 .5 mg budesonide ） and 1 ml physiological saline spray;saline group （ group B, n =30 ） , which were given 2 ml physiological saline throat spray; and lidocaine group （group C, n=30）, which were administered with 2 ml 2% lidocaine spray.All the spray was given after the removal of laryngeal mask when the patients were fully awake .The number of attempts required until successful laryngeal mask insertion , the time course from LMA insertion to removal , and the severity of throat sore at 1 h （ T1） , 4 h （ T2 ） , 12 h （ T3 ） and 24 h （ T4 ） after the removal of LMA were obtained .Results： There＇s no significance of age , weight , the number of attempts required until successful laryngeal mask insertion and the time course from LMA insertion to removal among the three groups statistically （ P〉0 .05 ） .Significantly decrease of throat sore in group A was observed at T 1, T2 and T3 compared to goup B and C （ P〈0.05） .Conclusion： The incidence and severity of throat sore after removal of LMA were significantly decreased with the administration of budesonide throat spray within 24 hours postoperatively .
出处
《东南大学学报（医学版）》
CAS
2014年第3期332-334,共3页
Journal of Southeast University(Medical Science Edition)
关键词
布地奈德混悬液
喷喉
喉罩
咽痛
budesonide suspension
spay
laryngeal mask airway
throat sore
