PERBANDINGAN EFEKTIFITAS DEXAMETHASON DAN LIDOKAIN DALAM MENCEGAH NYERI TENGGOROKAN SETELAH INTUBASI ENDOTRAKEAL PADA ANESTESI UMUM

John Frans Sitepu
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Abstract

Throat pain is a complication that is often found in patients with general anesthesia who use endotracheal intubation that is difficult to control even though surgical pain is well controlled using systemic analgesia. The purpose of this study was to see a comparison of the effectiveness of treatment in the prevention of throat pain in general anesthesia. This study used a double blind randomized clinical trial method conducted at three sites. The sample of this study was all patients who underwent elective surgery with general anesthesia endotracheal intubation. Statistically it was shown that there was no difference in effectiveness between Dexamethason 0.2 mg / kg and Lidocaine 1.5 mg / kgBB, but clinically the incidence of sore throat was higher in the Lidocaine group 1.5 mg / kgBB. Whereas at the 6th hour, Dexamethason 0.2 mg / kgBB statistically is more effective than Lidocaine 1.5 mg / kg in terms of reducing the incidence of sore throat after surgery.
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DEXAMETHASON和lido卡因的对比可以预防全身麻醉的内膜插管后的喉部疼痛
咽部疼痛是一种并发症,常见于气管内插管全麻患者,尽管手术疼痛可以通过全身镇痛得到很好的控制,但咽部疼痛难以控制。本研究的目的是比较在全身麻醉下预防咽喉疼痛的治疗效果。本研究采用双盲随机临床试验方法,在三个地点进行。本研究的样本是所有接受择期手术全麻气管插管的患者。统计学上,地塞米松0.2 mg / kg组与利多卡因1.5 mg / kgBB组疗效无差异,但临床上利多卡因1.5 mg / kgBB组咽喉痛发生率较高。而在第6小时,0.2 mg / kgBB地塞米松比1.5 mg / kg利多卡因在减少术后喉咙痛发生率方面更有效。
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