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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.

DOI:10.1007/s00106-003-1000-1
PMID:14968320
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。

相似文献

1
[Inpatient treatment of tonsillectomy from the patient's point of view].从患者角度看扁桃体切除术的住院治疗
HNO. 2004 Feb;52(2):153-5. doi: 10.1007/s00106-003-1000-1.
2
[Tonsillectomy--day surgery or hospitalization?].扁桃体切除术——日间手术还是住院治疗?
Tidsskr Nor Laegeforen. 1999 Apr 20;119(10):1423-7.
3
Patients' preferences for length of stay: valuable in day-case tonsillectomy planning.
Eur Arch Otorhinolaryngol. 2005 Nov;262(11):943-5. doi: 10.1007/s00405-005-0924-3. Epub 2005 Mar 17.
4
[Tonsillectomy in adults: Length of hospital stay has no influence on the frequency of postoperative hemorrhage].成人扁桃体切除术:住院时间对术后出血频率无影响
HNO. 2015 Dec;63(12):841-4, 846-9. doi: 10.1007/s00106-015-0077-7.
5
Does day case pediatric tonsillectomy increase postoperative pain compared to overnight stay pediatric tonsillectomy? A prospective comparative audit.日间小儿扁桃体切除术与过夜小儿扁桃体切除术相比,术后疼痛会增加吗?一项前瞻性比较审计。
Paediatr Anaesth. 2013 Aug;23(8):697-701. doi: 10.1111/pan.12201. Epub 2013 May 28.
6
The Scottish tonsillectomy audit. The Audit Sub-Committee of the Scottish Otolaryngological Society.苏格兰扁桃体切除术审计。苏格兰耳鼻喉科学会审计小组委员会。
J Laryngol Otol Suppl. 1996;20:1-25.
7
Parental attitudes and postoperative problems related to paediatric day stay tonsillectomy.与小儿日间扁桃体切除术相关的家长态度及术后问题
N Z Med J. 1994 Nov 9;107(989):451-2.
8
The starship children's hospital tonsillectomy: A further 10 years of experience.星际儿童医院扁桃体切除术:又一个十年的经验
Laryngoscope. 2016 Dec;126(12):E416-E420. doi: 10.1002/lary.26041. Epub 2016 Apr 27.
9
Is paediatric day case tonsillectomy desirable? The parents' perspective.小儿日间扁桃体切除术是否可取?家长的看法。
Int J Clin Pract. 2000 May;54(4):225-7.
10
Comparative audit of tonsillectomy.扁桃体切除术的比较性审计
Clin Otolaryngol Allied Sci. 2000 Apr;25(2):110-7. doi: 10.1046/j.1365-2273.2000.00320.x.

本文引用的文献

1
Complications of adenotonsillectomy.腺样体扁桃体切除术的并发症。
Laryngoscope. 2002 Aug;112(8 Pt 2 Suppl 100):35-6. doi: 10.1002/lary.5541121413.
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Electrosurgery for tonsillectomy.扁桃体切除术的电外科手术
Laryngoscope. 2002 Aug;112(8 Pt 2 Suppl 100):11-3. doi: 10.1002/lary.5541121405.
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Taste disturbance after tonsillectomy.
Acta Otolaryngol Suppl. 2002(546):164-72. doi: 10.1080/00016480260046571.
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Hypoglossal nerve paralysis following tonsillectomy.扁桃体切除术后舌下神经麻痹
J Laryngol Otol. 2002 May;116(5):389-91. doi: 10.1258/0022215021910870.
6
Recovery after tonsillectomy in adults: a three-week follow-up study.成人扁桃体切除术后的恢复:一项为期三周的随访研究。
Laryngoscope. 2002 Jan;112(1):94-8. doi: 10.1097/00005537-200201000-00017.
7
[Hemorrhage after tonsillectomy. Analysis of 229 cases].[扁桃体切除术后出血。229例病例分析]
HNO. 2001 Sep;49(9):706-12. doi: 10.1007/s001060170041.
8
[Thoughts on hospital length of stay after tonsillectomy].
HNO. 2001 Sep;49(9):701-3. doi: 10.1007/s001060170039.
9
Injection of local anesthetic in tonsillectomy.
Arch Otolaryngol Head Neck Surg. 2001 Oct;127(10):1276-8. doi: 10.1001/archotol.127.10.1276.
10
Ropivacaine with or without clonidine improves pediatric tonsillectomy pain.罗哌卡因联合或不联合可乐定可减轻小儿扁桃体切除术后疼痛。
Arch Otolaryngol Head Neck Surg. 2001 Oct;127(10):1265-70. doi: 10.1001/archotol.127.10.1265.