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硫硫酸镁对双腔气管导管拔管后咽喉痛的预防作用
作者:吴晓丽 吉林 王曙  
单位:盐城市第三人民医院
关键词: 硫酸镁 双腔气管导管 咽喉痛 
分类号:
出版年·卷·期(页码):2013·41·第七期(474-477)
摘要:

[摘要]目的:观察硫酸镁预防双腔管拔管后咽喉痛的有效性。方法:择期在双腔气管导管插管下行开胸手术患者48例,年龄42~65岁,ASA I~Ⅱ级,随机分为对照组(C组)和硫酸镁组(M组),每组24例, C组和M组分别于麻醉诱导后咽喉喷雾生理盐水2ml或硫酸镁500mg (2ml),30s后行气管插管。观察双腔导管拔除后0h,2h,4h, 24h的咽喉痛发生率及严重程度。结果 M组患者导管拔除后0h,2h,4h, 24h咽喉痛的发生率及VAS评分均比C组低(P <0.05)。结论 硫酸镁可以有效预防双腔气管导管拔管后咽喉痛。

[Abstract] Objective: To investigate the effects of prophylactic magnesium sulphate on the sore throat after tracheal extubation with a double-lumen endobronchial tube (DLT). Methods: Forty-eight ASA I orⅡpatients, aged 42–65 yr, scheduled for thoracic surgery with a DLT were randomly divided into 2 groups (n=24 each):control group (group C)and group magnesium sulphate (group M). Normal saline 2 ml or magnesium sulphate 500mg (2ml) were sprayed on the surface of the throat 30 s before tracheal induction in group C and group M respectively. Patients were assessed for incidence and severity of sore throat at 0, 2, 4, and 24 h after tracheal extubation . Results: Compared with group C, the incidence and severity of sore throat were lower at 0,2,4, and 24 h after tracheal extubation in group M. Conclusion: The prophylactic administration of magnesium sulphate is effective to reduce both incidence and severity of sore throat after tracheal extubation of a DLT.

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