多学科管理模式在老年全麻手术经口气管插管后咽痛患者中的应用

Application of Multidisciplinary Management Model in Elderly Patients with Sore Throat after General Anesthesia Surgery with Oral Intubation

摘要: 目的：建立老年外科全麻患者经口气管插管术后咽痛多学科管理模式。方法：将96例老年外科全麻患者按入院时间随机分为观察组和对照组各48例，观察组应用老年外科全麻患者经口气管插管术后咽痛多学科管理模式，制定护理措施；对照组采用常规护理。结果：两组患者术后6 h、12~24 h、48 h及72 h的咽痛程度、咽喉部黏膜情况及声嘶、咳嗽等症状评估得分比较，差异有统计学意义(均P < 0.05)。结论：老年外科全麻患者经口气管插管术后咽痛多学科管理模式的应用有效减少了POST的发生，减轻患者不适，进而促进患者早日康复。

Abstract: Objective: To establish a multidisciplinary management model for postoperative sore throat in elderly surgical patients after tracheal intubation through the mouth. Method: A total of 96 elderly stroke patients were randomly divided into two groups of 48 upon admission. The observation group applied a multidisciplinary management model for POST in elderly patients undergoing oral tracheal intubation under general anesthesia and developed specific nursing interventions, while the control group received standard care. Result: The scores of postoperative sore throat, pharyngeal mucosal condition, hoarseness, and cough were compared between the two groups at 6 hours, 12~24 hours, 48 hours, and 72 hours, and the differences were statistically significant (all P < 0.05). Conclusion: The application of multidisciplinary management model for postoperative sore throat (POST) in elderly patients after oral tracheal intubation for general anesthesia in surgery effectively reduces the incidence of POST, alleviates patient discomfort, and ultimately promotes early recovery of patients.