Effect of nursing intervention cuff pressure combined with nebulized inhalation on postoperative throat complications in patients with secondary hyperparathyroidism

ObjectiveTo observe the effects of nursing intervention cuff pressure combined with nebulized inhalation on improving postoperative throat discomfort in patients with secondary hyperparathyroidism.

MethodsNinety patients with secondary hyperparathyroidism were randomly divided into the A, B and C groups(30 cases each group).The group A received general anesthesia, and was admitted to the post-anaesthesia monitoring room (PACU) for routine PACU care immediately after awake extubation.The anesthesia and intubation in group B and group C were the same as the group A, the cuff pressure was dynamically adjusted using external jacket pressure gauge, and maintained at 25~30 cmH₂O, group B was admitted to the PACU for routine PAUC care after awake extubation, and the group C was treated with aerosol inhalation of 2 mg budesonide and 5 mL 0.9% sodium chloride solution after awake extubation.The incidence rates and severity of sore throat, dry throat, nausea vomiting and hoarseness in three groups at entering into PACU after extubation(T₁), coming out of PACU(T₂), postoperative 6 h(T₃) and postoperative 24 h(T₄) were recorded.The satisfaction of patients was also inquired, and the effects of two nursing methods on the intervention of throat after the general anesthesia were laterally compared.

ResultsAt T₁, the sore throat score in C group was lower than that in group A and group B (P < 0.01), and the differences of pharyngeal dryness score among three groups were not statistically significant(P < 0.01).At T₂, T₃ and T₄, the scores of sore throat and pharyngeal dryness in group C, group B and group A gradually increased in turn(P < 0.01).The satisfaction in group C was better than that in group B and group A(P < 0.05), and the difference of which between group A and group B was not statistically significant(P>0.05).

ConclusionThe nursing intervention cuff pressure combined with atomization inhalation can reduce the postoperative sore throat and pharyngeal dryness, accelerate postoperative recovery of and improve the satisfaction of patients.