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从患者角度看扁桃体切除术的住院治疗

[Inpatient treatment of tonsillectomy from the patient's point of view].

作者信息

Wahlers A

机构信息

Hals-, Nasen- und Ohrenklinik, Zentralkrankenhaus St.-Jürgen-Strasse, Bremen.

出版信息

HNO. 2004 Feb;52(2):153-5. doi: 10.1007/s00106-003-1000-1.

Abstract

BACKGROUND

Hospitalization after tonsillectomy for more than 24 h is still controversial. In order to obtain the patient's point of view, we designed a questionnaire for all patients undergoing tonsillectomy.

METHODS AND RESULTS

From January 2002, we asked all patients admitted for elective tonsillectomy to fill out an anonymous questionnaire on their preferences for the duration of hospitalization after surgery. The majority of patients (79.6%) returning the questionnaire supported a hospital stay of at least 4 days after surgery. Options for a shorter stay of only 24 h or tonsillectomy in day-surgery without overnight stay were declined by all patients.

CONCLUSION

We found that most patients preferred to remain in hospital for about 4 days postoperatively because they felt that they would have better access to effective analgesia. Another reason involved the increased risk for haemorrhage during the first few days after tonsillectomy.

摘要

背景

扁桃体切除术后住院超过24小时仍存在争议。为了了解患者的观点,我们为所有接受扁桃体切除术的患者设计了一份问卷。

方法与结果

从2002年1月起,我们要求所有因择期扁桃体切除术入院的患者填写一份关于他们对术后住院时长偏好的匿名问卷。大多数回复问卷的患者(79.6%)支持术后至少住院4天。所有患者都拒绝了仅住院24小时或日间手术不 overnight stay(原文此处有误,推测是“不留院过夜”)的较短住院选项。

结论

我们发现大多数患者倾向于术后在医院停留约4天,因为他们觉得这样能更好地获得有效的镇痛。另一个原因是扁桃体切除术后头几天出血风险增加。

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