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ICU患者经口气管插管拔除后咽痛分级的影响因素分析

蒋凯 陈玲玲 袁惠萍 郑汉阳 董科奇 范力明 张维珍 胡萍芬 章燕飞   

  1. 浙江省舟山医院ICU,316000舟山市(蒋凯,陈玲玲,郑汉阳,董科奇,胡萍芬,章燕飞);护理部(袁惠萍,范力明,张维珍)
  • 出版日期:2017-10-25 发布日期:2017-10-25
  • 基金资助:
    舟山市医药卫生科技计划项目(2015G03)

Influencing factors of postoperative sore throat grading after pulling out the oral trachea intubation among ICU patients

  • Online:2017-10-25 Published:2017-10-25

摘要: 目的:分析患者经口气管插管术后咽痛分级的影响因素。方法:选择2015年4月至2016年10月入住ICU经口气管插管术后能理解表述咽痛评分表的382例患者为研究对象,收集患者气管插管拔除后30 min内咽痛分级及年龄、性别、是否紧急插管、气囊压力、带管时间,拔除气管插管时气囊放气方式、吸痰方式、体位,导管型号、导管种类等因素,分析咽痛分级与这些因素之间的相关性。结果:Logistic回归分析显示疼痛分级的影响因素有气囊压力、带管时间,拔除气管插管时气囊放气方式、吸痰方式、体位。结论:通过分析咽痛分级的影响因素,可针对这些因素采取相关措施,减少咽痛的发生或降低咽痛分级,提高患者的舒适度。

Abstract: Objective: To explore the influencing factors of postoperative sore throat grading after the oral trachea intubation among ICU patients. Methods: From April 2015 to October 2016, 382 ICU patients who could understand postoperative sore throat scale were recruited and investigated the postoperative sore throat tracheal intubation grading and age, sex, intubation urgency, air pressure, intubation time, deflated way, whether drawing during suction, positions, catheter extubation models, types of catheter, etc. We analyzed the correlation between sore throat factors and grading. Results: Logistic regression analysis showed that air pressure, intubation time, deflated way, drawing ratio, position were the influencing factors of sore throat grading. Conclusions: Through analyzing the influencing factors of sore throat grading, we could take effective measures to reduce the occurrence of sore throat or sore throat grading and to improve patients' comfort.