套囊压力调整对机器人妇科手术后咽喉痛、声音嘶哑及口腔舒适度的影响：一项准实验研究
Effect of Intracuff Pressure Adjustment on Postoperative Sore Throat, Hoarseness, and Oral Comfort in Robotic Gynecological Surgery: A Quasi-experimental Study.
文献信息
| PMID | 42815988 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Myoung Ji Kim |
| 作者单位 | Graduate School of Nursing, Hallym University, Chuncheon-si, Gangwon-do, Republic of Korea; Department of Nursing, Hallym University Dongtan Sacred Heart Hospital, Hwaseong-si, Gyeonggi-do, Republic of Korea. |
| 期刊 | Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses |
| SCI 分区 | Q1 |
| IF | 2.6 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 咽喉科 |
中文摘要
目的： 声音嘶哑和术后咽喉痛（POST）是机器人辅助妇科手术中气管插管的常见并发症。尽管机器人手术日益普及，但针对该背景下气道症状管理的研究仍有限。本研究旨在评估术中气管导管（ETT）套囊压力调整对声音嘶哑、POST及口腔舒适度的影响。此外，本研究还试图为护理干预提供依据，以加强术后护理。
设计： 本研究在单一机构采用评估者盲法的准实验设计。
方法： 共60例接受机器人辅助妇科手术的患者，根据进入手术室等候区的顺序（奇偶分配）采用交替序列等量分配至实验组（n=30）和对照组（n=30）。实验组每10分钟监测并将ETT套囊压力调整至22 cmH₂O。对照组监测套囊压力但不进行调整。在术前及术后1、6、24小时评估声音嘶哑、POST及口腔舒适度。统计分析包括t检验、χ²检验和非参数方法。
结果： 与对照组相比，实验组在所有术后时间点的POST和声音嘶哑评分显著更低，口腔舒适度评分显著更高（P < .001）。
结论： 定期调整术中ETT套囊压力可有效减少接受机器人辅助妇科手术患者的POST和声音嘶哑，同时改善口腔舒适度。实施最佳套囊压力管理的临床指南可能有助于加强术后症状管理并改善患者结局。
英文摘要
PURPOSE: Hoarseness and postoperative sore throat (POST) are common complications of endotracheal intubation during robotic-assisted gynecological surgery. Despite the increasing prevalence of robotic procedures, studies focusing on airway symptom management in this context are limited. This study aimed to evaluate the effects of intraoperative endotracheal tube (ETT) cuff pressure adjustment on hoarseness, POST, and oral comfort. Additionally, the study sought to inform nursing interventions to enhance postoperative care.
DESIGN: This study employed an assessor-blinded, quasi-experimental design at a single institution.
METHODS: A total of 60 patients undergoing robotic-assisted gynecological surgery were allocated in equal numbers to the experimental group (n = 30) and the control group (n = 30) using an alternating sequence based on the order of entry into the operating room waiting area (odd/even assignment). In the experimental group, ETT cuff pressure was monitored and adjusted to 22-cmH₂O every 10 minutes. In the control group, cuff pressure was monitored but not adjusted. Hoarseness, POST, and oral comfort were assessed preoperatively and at 1, 6, and 24 hours postoperatively. Statistical analyses included t tests, χ2 tests, and nonparametric methods.
FINDINGS: The experimental group exhibited significantly lower POST and hoarseness scores and higher oral comfort scores at all postoperative time points compared with the control group (P < .001).
CONCLUSIONS: Regular intraoperative ETT cuff pressure adjustments effectively reduced POST and hoarseness while improving oral comfort in patients who underwent robotic-assisted gynecological surgery. Implementing clinical guidelines for optimal cuff pressure management may enhance postoperative symptom management and improve patient outcomes.