姜黄含片预防喉罩下气道插入手术后喉咙痛的疗效评价。

Anesthesia, Essays and Researches Pub Date : 2022-04-01 Epub Date: 2022-09-06 DOI:10.4103/aer.aer_56_22
Shehla Naseem, Divya Gupta, Harish Koshyari
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引用次数: 2

摘要

背景:喉痛是喉罩气道(LMA)插入和气管内插管的常见主诉。其在LMA中的发病率在5.8%至34%之间。术前服用含片也是预防术后喉咙痛(POST)的一种途径。目的:本双盲随机对照研究的目的是评估全麻(GA)患者术前给予姜黄含片在LMA插入下预防POST的疗效。环境和设计:本研究在德拉敦斯瓦米拉玛纳加尔斯瓦米拉玛喜马拉雅大学喜马拉雅医学科学研究所麻醉系进行,为期12个月。对象和方法:我们的研究纳入了250名美国麻醉师学会I级和II级的患者,他们在GA下进行选择性手术并插入LMA。随机化采用密封信封技术。A组术前30 min给予姜黄提取物加薄荷醇和桉树油含片(n = 125), B组术前30 min给予普通姜黄提取物加橙味含片(n = 125)。分别于取下lma后30 min、6 h、12 h、24 h在恢复室进行POST评估。统计学分析:数据采用卡方检验、Fisher精确检验、Student t检验。P < 0.05为差异有统计学意义。结果:与含有100 mg姜黄提取物的橙味原味姜黄含片相比,含有6.4 mg桉树油和6.3 mg薄荷醇油的姜黄含片与100 mg姜黄提取物的姜黄含片在所有时间间隔内显著降低了POST的发生率(P < 0.05)。结论:术前给予桉树油和薄荷醇油的姜黄含片可降低POST。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of the Efficacy of Turmeric-Based Lozenges for the Prevention of Postoperative Sore Throat in Surgeries Done Under Laryngeal Mask Airway Insertion.

Context: Sore throat is a common complaint to both laryngeal mask airway (LMA) insertion and endotracheal tube intubation. Its incidence in LMA has been found to vary between 5.8% and 34%. Administration of medicated lozenges in the preoperative period is also a route available for the prevention of postoperative sore throat (POST).

Aim: The aim of this double-blinded randomized controlled study was to evaluate the efficacy of turmeric-based lozenges given preoperatively in patients undergoing general anesthesia (GA) under LMA insertion for the prevention of POST.

Settings and design: This study was conducted at the Department of Anaesthesiology, Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Swami Rama Nagar, Dehradun, over a period of 12 months.

Subjects and methods: Two hundred and fifty patients of the American Society of Anesthesiologists classes I and II posted for elective surgeries under GA with insertion of LMA were included in our study. Randomization was done by the sealed envelope technique. Turmeric extract with menthol and eucalyptus oil lozenges was given in Group A (n = 125), while plain turmeric extract with orange flavor lozenges was given in Group B (n = 125) 30 min preoperatively. The patients were assessed for POST in the recovery room post-LMA removal at 30 min, 6 h, 12 h, and 24 h.

Statistical analysis: The data were analyzed using Chi-square test, Fisher's exact test, and Student's t-test. P < 0.05 was considered statistically significant.

Results: The turmeric lozenges containing 6.4 mg eucalyptus oil and 6.3 mg menthol oil along with turmeric extract 100 mg significantly reduced the incidence of POST across all time intervals (P < 0.05) as compared to orange-flavored plain turmeric lozenges containing turmeric extract 100 mg.

Conclusions: POST was reduced with preoperatively administered eucalyptus oil and menthol oil containing turmeric lozenges.

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