【摘要】：目的:探討預測聲門暴露困難的可靠指標,分析術后咽喉部疼痛與術中支撐喉鏡使用時間及喉部和舌根所受壓強的關系。方法:對50例實行支撐喉鏡手術的患者術前測量和聲門暴露可能相關的指標并進行統(tǒng)計學分析,包括:性別、年齡、體質指數、改良Mallampati分級、張口度、頸圍、胸頦間距、甲頦間距、舌頦間距、水平甲頦間距、垂直甲頦間距、頸后仰度、甲頦夾角,術中記錄聲門暴露的Cormack-Lehane評分、聲門暴露分級、暴露聲門所需時間、手術持續(xù)時間、作用喉和舌根部的壓力,術后記錄咽喉部疼痛情況,并分析疼痛的相關因素。結果:體質指數≥25和全伸展體位下的甲頦間距6cm(均P0.05)是預測聲門暴露困難的可靠指標;聲門暴露所需時間[(1.96±1.28)min]及舌根和喉部所受壓強[(292±109)mmHg]在聲門暴露困難患者中顯著增加,22例(44%)患者術后主訴喉痛,其程度和手術時間[(39±31)min]有關(P0.05),而和壓強無關(P0.05)。結論:體質指數和全伸展體位下甲頦間距可作為預測聲門暴露困難的可靠指標;術中喉部和舌根所受壓強是術后咽喉部疼痛的一個重要因素,統(tǒng)計學表明僅手術時間和術后疼痛有顯著相關性。
[Abstract]:Objective: to explore the reliable index of predicting glottic exposure difficulties and to analyze the relationship between postoperative larynx pain and the duration of operation of laryngoscope and the pressure on larynx and tongue root. Methods: preoperative measurements and glottic exposure were analyzed in 50 patients undergoing laryngoscopic surgery, including sex, age, body mass index, modified Mallampati grade, mouth opening, neck circumference, and mental distance. Cormack-Lehane score of glottis exposure, glottis exposure grade, duration of glottis exposure, duration of operation were recorded. The pressure of larynx and root of tongue was used to record the pain of larynx after operation and to analyze the related factors of pain. Results: body mass index (BMI) 鈮，

本文編號：2419958