气管插管患者术后咽喉痛围术期防治策略的循证实践

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...

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

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.