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护理学报 ›› 2022, Vol. 29 ›› Issue (23): 33-38.doi: 10.16460/j.issn1008-9969.2022.23.033

• 循证护理 • 上一篇    下一篇

气管插管患者术后咽喉痛围术期防治策略的循证实践

卓眉秀a, 王宜庭b, 刘倩b, 朱丽群c, 包磊b, 吴进b, 殷娜d   

  1. 江苏大学附属医院 a.妇科; b.麻醉手术室; c.护理部; d.胸外科,江苏 镇江 212001
  • 收稿日期:2022-07-14 出版日期:2022-12-10 发布日期:2023-01-13
  • 通讯作者: 王宜庭（1989-）,男,江苏镇江人,硕士,主管护师,护士长。E-mail:1047885293@qq.com
  • 作者简介:卓眉秀（1989-）,女,山东枣庄人,硕士,主管护师。
  • 基金资助:
    国家卫生健康委医院管理研究所基金项目（YLZLXZ-2021-007）; 江苏大学临床医学专项基金项目（JDLCHL202006）

Evidence-based Practice of Perioperative Prevention and Treatment Strategies for Postoperative Sore Throat in Patients with Tracheal Intubation

ZHUO Mei-xiua, WANG Yi-tingb, LIU Qianb, ZHU Li-qunc, BAO Leib, WU Jinb, YIN Nad   

  1. a. Dept. of Gynecology; b. Dept. of Anesthesiology and Operating Room; c. Dept. of Nursing Administration; d. Dept. of Thoracic Surgery, Affiliated Hospital of Jiangsu University, Zhenjiang 212001, China
  • Received:2022-07-14 Online:2022-12-10 Published:2023-01-13

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摘要： 目的 通过循证护理的方法,建立全身麻醉气管插管后咽喉疼痛的围术期防治策略,为患者康复及舒适化医疗发展提供参考依据。方法 以循证护理方法学为指导,系统检索UpToDate、BMJ、JBI、Cochrane Library、NICE、SIGN、ASA、AORN、RNAO、PubMed、CINAHL、医脉通、中国知网、万方、中国麻醉官网,筛选后共纳入文献18篇,经专人评价提取汇总后形成全身麻醉气管插管后咽喉痛围术期防治策略,并将该策略应用临床。采用前后对照的方式,选取我院2020年9—11月142例患者为对照组,2021年1—2月共121例患者为观察组,比较2组患者拔管后即时、拔管后24 h末术后咽喉痛的严重程度、术后24 h的舒适度及对气管插管患者围术期防治环节中执行规范情况。结果 与对照组相比,观察组患者在拔管后即时及拔管后24 h末术后咽喉痛的严重程度均下降（P<0.05）,患者术后24 h舒适度提升（P<0.05）,对气管插管患者围术期防治环节中执行规范情况得以改善（P<0.05）。结论 基于循证的围术期咽喉疼痛防治策略能降低术后咽喉疼痛严重程度,提高气管插管患者术后舒适度,改善对气管插管患者围术期防治环节中执行规范情况,值得临床借鉴使用。

关键词: 全身麻醉, 气管插管, 麻醉护理, 咽喉疼痛, 循证护理

Abstract: Objective To develop perioperative prevention and treatment strategies for postoperative sore throat in patients with tracheal intubation after general anesthesia through evidence-based nursing, and to provide reference for patient rehabilitation and the development of comfortable medical care. Methods Guided by evidence-based nursing, a systematic search of UpToDate, BMJ, JBI, Cochrane Library, NICE, SIGN, ASA, AORN, RNAO, PubMed, CINAHL, Medlive, CNKI, Wanfang Database, and the official website of China Anesthesia was conducted. Eighteen piece of literature were included after screening. After being evaluated, extracted and summarized, the perioperative prevention and treatment strategies for sore throat in patients after tracheal intubation with general anesthesia were developed, and the strategies were applied in clinical practice. A total of 142 patients in our hospital from September to November 2020 were selected as control group, and another 121 patients from January to February 2021 as observation group. The two groups of patients were compared immediately after extubation and 24 hours after extubation in terms of the severity of postoperative sore throat, the comfort 24 hours after surgery, and the implementation of norms in the perioperative prevention and treatment of tracheal intubation patients. Results Compared with that in the control group, the severity of sore throat in the observation group decreased immediately after extubation and at the end of 24 hours after extubation (P<0.05), and the patients' comfort improved at 24 hours after extubation (P<0.05). The implementation of norms in the perioperative prevention and treatment of tracheal intubation patients was improved (P<0.05). Conclusion Evidence-based perioperative prevention and treatment strategies for postoperative sore throat can reduce the severity of postoperative sore throat, improve postoperative comfort for patients with tracheal intubation, and the implementation of norms in the perioperative prevention and treatment, which is worthy of clinical promotion.

Key words: general anesthesia, tracheal intubation, anesthesia nursing, sore throat, evidence-based nursing

中图分类号: 

  • R473.6
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