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目的:调查双腔气管插管全身麻醉手术患者术后咽喉痛与声音嘶哑的现状，并分析其影响因素。方法:采用便利抽样法选取2020年7—10月在湖北省武汉市某三级甲等综合医院行择期手术的129例双腔气管插管患者为研究对象。采用一般资料调查表、视觉模拟评分法（VAS）、唇舌黏膜评分表、声音嘶哑评分表对患者进行调查。结果:129例双腔气管插管患者术后1、6、24、48、72 h咽喉痛发生率分别为68.22%、44.96%、76.74%、64.34%、48.84%，其中静息状态咽喉痛发生率分别为10.9%、6.2%、1.6%、0、1.6%，吞咽状态咽喉痛发生率分别为18.6%、8.5%、3.1%、0、0，声音嘶哑发生率分别为66.67%、45.74%、78.29%、65.89%、48.84%。不同年龄、术前禁食水时间的患者拔管后1 h声音嘶哑发生情况差异有统计学意义（n t值分别为2.499、2.106；n P<0.05）；发生声音嘶哑患者的静息状态和吞咽状态的VAS评分均高于未发生声音嘶哑患者，差异有统计学意义（n t值分别为3.688、2.818；n P<0.01）；相关性分析显示，声音嘶哑发生情况与唇舌黏膜情况呈负相关（n r=-0.309，n P<0.01）。n 结论:双腔气管插管全身麻醉手术患者的术后咽喉疼痛发生率高，随着时间延长，疼痛可逐步缓解，声音嘶哑随着时间延长自愈效果不理想。高龄、术前长时间禁食水、唇舌黏膜干燥是术后咽喉痛的影响因素，在护理评估中应早期识别并给予有效措施，减少术后咽喉痛的发生。“,”Objective:To investigate the status of postoperative sore throat and hoarseness in patients undergoing general anesthesia with double-lumen endotracheal intubation and analyze its influencing factors.Methods:Using the convenient sampling method, a total of 129 patients with double-lumen endotracheal intubation who underwent elective surgery in a Class Ⅲ Grade A general hospital in Wuhan in Hubei Province from July to December 2020 were selected as the research objects. The general information questionnaire, Visual Analogue Scale (VAS), Labial and Tongue Mucosa Scale and Hoarse Voice Scale were used to investigate the patients.Results:The incidence of sore throat in 129 patients with double-lumen endotracheal intubation at 1, 6, 24, 48 and 72 hours after surgery were 68.22%, 44.96%, 76.74%, 64.34% and 48.84%, respectively. Among them, the incidences of sore throat in resting state were respectively 10.9%, 6.2%, 1.6%, 0 and 1.6%, incidences of sore throat in swallowing state were respectively 18.6%, 8.5%, 3.1%, 0 and 0, and the incidences of hoarseness were respectively 66.67%, 45.74%, 78.29%, 65.89% and 48.84%. There were statistically significant differences in the occurrence of hoarseness in patients of different ages and preoperative fasting time 1 hour after extubation (n t=2.499, 2.106; n P<0.05). The VAS scores of patients with hoarseness in resting state and swallowing state were higher than those in patients without hoarseness, and the differences were statistically significant (n t=3.688, 2.818; n P<0.01). Correlation analysis showed that hoarseness was negatively correlated with the condition of lip and tongue mucosa (n r=-0.309, n P<0.01) .n Conclusions:The incidence of postoperative throat pain in patients undergoing general anesthesia with double-lumen endotracheal intubation is high. With the extension of time, pain can be gradually relieved. The self-healing effect of hoarseness over time is not ideal. Advanced age, prolonged water fasting before operation and dry lip and tongue mucosa are the influencing factors of postoperative sore throat. Early identification and effective measures should be given in nursing evaluation to reduce the occurrence of postoperative sore throat.