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ICU经口气管插管患者拔管后咽痛分级状况及其影响因素调查
引用本文:秦慧玲,孙聪聪,徐彩霞,王芳. ICU经口气管插管患者拔管后咽痛分级状况及其影响因素调查[J]. 护理实践与研究, 2020, 0(2): 27-29
作者姓名:秦慧玲  孙聪聪  徐彩霞  王芳
作者单位:南京中医药大学第二附属医院重症医学科
摘    要:
目的探讨ICU经口气管插管患者拔管后咽痛分级状况及其影响因素。方法选取2016年7月至2018年3月我院接受ICU经口气管插管患者160例为研究对象,收集患者的年龄、性别、吸烟史、职业、体质量指数(BMI)、既往咽喉病史、合并症、ICU持续时间,是否紧急插管等资料,并进行单因素分析和多因素logistic回归分析。结果 160例患者中拔管后发生咽痛46例,占总例数的28. 75%,其中发生一级咽痛16例,二级咽痛12例,三级咽痛9例,四级咽痛6例,五级咽痛3例。单因素分析显示,年龄、吸烟史、BMI、既往咽喉病史、导管类型、机械通气时间、吸痰方式、导管留置时间、带管时间及镇静剂使用情况均为ICU经口气管插管患者拔管后咽痛的相关影响因素(P <0. 05);多因素logistic回归分析显示,机械通气时间≥24 h、吸痰方式、带管时间及镇静剂使用情况均为ICU经口气管插管患者拔管后咽痛的独立危险因素(P <0. 05)。结论 ICU经口气管插管患者拔管后咽痛与机械通气时间,吸痰方式,带管时间和镇静剂使用情况相关,在临床工作中应及时给予相应防范干预措施,减少咽痛的发生。

关 键 词:ICU经口气管插管  咽痛分级  影响因素

Investigation of hierarchical situation of sore throat and its influencing factors in patients with ICU orotracheal intubation after extubation
QIN Hui-ling,SUN Cong-cong,XU Cai-xia,WANG Fang. Investigation of hierarchical situation of sore throat and its influencing factors in patients with ICU orotracheal intubation after extubation[J]. Attend to Practice and Research, 2020, 0(2): 27-29
Authors:QIN Hui-ling  SUN Cong-cong  XU Cai-xia  WANG Fang
Abstract:
Objective To investigate the hierarchical situation of sore throat and its influencing factors in patients with ICU orotracheal intubation after extubation. Methods To select 160 cases of patients who underwent ICU orotracheal intubation from July 2016 to March 2018 as the study subjects. The related data of patients such as age,gender,smoking history,occupation,body mass index( BMI),previous throat medical history,complication,duration of ICU,emergency intubation,etc.,were collected,and univariate analysis and multivariate logistic regression analysis were performed to analyze the influencing factors. Results In the 160 cases of patients,46 cases of sore throat occurred after extubation,accounting for 28. 75% of the total number,of which 16 cases of first grade sore throat,12 cases of second grade sore throat,9 cases of third grade sore throat,6 cases of fourth grade sore throat,and 3 cases of fifth grade sore throat. Univariate analysis showed that the age,smoking history,BMI,previous throat medical history,catheter type,mechanical ventilation time,method of sputum suction,catheter indwelling time,time of taking tube,and use of sedative were all influencing factors related to sore throat after extubation in ICU orotracheal intubation( P < 0. 05). Multivariate logistic regression analysis showed that the mechanical ventilation time≥24 h,method of sputum suction,time of taking tube,and use of sedative were all independent risk factors for sore throat after extubation in ICU orotracheal intubation( P < 0. 05). Conclusion Sore throat after extubation was associated with mechanical ventilation time,method of sputum suction,time of taking tube,and use of sedatives in patients with ICU orotracheal intubation. The corresponding preventive interventions should be given in clinical work to reduce the occurrence of sore throat.
Keywords:ICU orotracheal intubation  Hierarchical of sore throat  Influencing factors
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