论著
布地奈德氧气雾化吸入疗法缓解经鼻插管全麻术后咽喉疼痛的效果观察
苏华凤，邓益君，黄秋雨
【摘要】 目的 探索布地奈德氧气雾化吸入疗法缓解经鼻插管全麻术后咽喉疼痛的效果。 方法 将96例研究对象分为对照组（46人）和观察组（50人），对照组仅进行常规护理；观察组使用布地奈德氧气雾化吸入。收集患者一般资料，并分别检测患者术后当天、术后第1天、术后第2天、术后第3天的患者咽喉疼痛情况。 结果 观察组和对照组一般资料和术后当天咽痛疼痛分级无统计学差异（P＜0.05），术后第1天、术后第2天、第3天观察组咽痛控制效果优于对照组（P＜0.05）。
【关键字】 布地奈德,咽喉疼痛,全麻插管,雾化吸入
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【Abstract】 Objective To verify the validity of Budesonide ameliorating throat pain induced by nasal cavity intubation general anesthesia. Methods 96 cases were grouped into control group (46 cases) and study group (50 cases), of which control group only received usual care while study group receiving Budesonide oxygen atomization as well as usual care. General information and degree of throat pain of post-operative day (the operative day, first day, second day and third day) were collected. Results The difference of general information and throat pain of the operative day between control and study group had no significance(P<0.05), but degree of throat pain of patients in study group were controlled better than control group on other post-operative day (first day, second day and third day) (P<0.05). Conclusion Budesonide oxygen atomization can ameliorate throat pain induced by nasal cavity intubation general anesthesia.
经鼻插管全麻手术是口腔颌面外科最常用的麻醉方式。咽喉疼痛是经鼻全麻插管麻醉术后最常见的并发症，其发生率为33%~44%[1]，降低了患者舒适度，若治疗和护理不当易造成呼吸道水肿、感染、甚至窒息。目前对于术后咽喉疼痛的治疗和护理尚处于探索阶段。布地奈德是一种专用于气道给药的糖皮质激素，因其抗炎作用强（约为地塞米松的500倍），能为缓解咽喉局部炎症反应，不良反应，常用于呼吸道疾病治疗。我科于2017年5月~2017年9月收治的患者中有50例经鼻插管全麻术后咽痛的患者通过布地奈德的氧气雾化吸入，咽喉疼痛效缓情况优于对照组，现总结资料如下。
