Hirunwiwatkul P
Department of Otolarygology, Facuty of Medicine, Chulalongkom University, Bangkok, Thailand.
J Med Assoc Thai. 2001 Jun;84 Suppl 1:S384-90.
An analytical prospective study was performed to determine the post-operative pain-relieving effect of local steroid suspension injection in uvulopalatopharyngoplasty. From February 2000 to October 2000, 48 adult patients from 20 to 67 years of age, were scheduled to receive uvulopalatopharyngoplasty. Triamcinolone acetonide (Kenacort A) was injected onto the raw surface of the left-sided tonsillar fossa and left-sided soft palate after tonsillectomy and uvulopalatopharyngoplasty. Other preoperative and post-operative medications including antibiotics, anesthesia and surgical techniques were standardized. Visual analog scales were used to assess the level of pain sensation on the left and right side of the throat daily from day 0 (Operative day) to post-operative day 10. A paired t-test showed significant differences in post-operative pain level between the study side (left) and the control side (right) at day 2, day 4, and in the overall analysis (p < 0.05).
进行了一项前瞻性分析研究，以确定局部类固醇混悬液注射在悬雍垂腭咽成形术中的术后镇痛效果。从2000年2月至2000年10月，安排了48例年龄在20至67岁之间的成年患者接受悬雍垂腭咽成形术。在扁桃体切除和悬雍垂腭咽成形术后，将曲安奈德（康宁克通A）注射到左侧扁桃体窝和左侧软腭的创面上。包括抗生素、麻醉和手术技术在内的其他术前和术后用药均标准化。使用视觉模拟量表从第0天（手术日）至术后第10天每天评估咽喉左右两侧的疼痛感觉水平。配对t检验显示，在第2天、第4天以及总体分析中，研究侧（左侧）和对照侧（右侧）之间的术后疼痛水平存在显著差异（p<0.05）。
