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夫沙芬净对小儿扁桃体切除术后疼痛及伤口愈合的影响。

The effect of fusafungine on post-operative pain and wound healing after pediatric tonsillectomy.

作者信息

Akbas Yucel, Pata Yavuz Selim, Unal Murat, Gorur Kemal, Micozkadioglu Deniz

机构信息

Department of Otorhinolaryngology, Mersin University School of Medicine, Mersin, Turkey.

出版信息

Int J Pediatr Otorhinolaryngol. 2004 Aug;68(8):1023-6. doi: 10.1016/j.ijporl.2004.03.008.

Abstract

OBJECTIVE

To investigate the effect of fusafungine spray on pain and healing process after pediatric tonsillectomy.

METHODS

Sixty children with ages between 4 and 14 years underwent tonsillectomy or adenotonsillectomy. The patients were randomly divided into three groups and each group consisted of 20 patients. Group 1 was treated with antibiotic (amoxicillin-clavulanic acid) plus analgesic (acetaminophen), group 2 was treated with fusafungine plus analgesic (acetaminophen) and group 3 was treated with only fusafungine. The average ages were 7.8 + 3.4, 6.6 + 2.9, and 8.2 + 3.7 for groups 1, 2, and 3, respectively. Clinical evaluations were made after the operation on the 1st (T1), 3rd (T3), 7th (T7), 10th (T10), and 14th days (T14).

RESULTS

There was no significant difference in post-operative pain between study groups on the post-operative 1st, 3rd, and 7th days (P > 0.05), a statistically significant difference was present between groups 1 and 3, and groups 1 and 2 on the post-operative 10th and 14th day (P = 0.018 and 0.037, respectively). Pain was less in groups 2 and 3 than in group 1 on the 10th and 14th day. Also there was a significant difference in healing time of the tonsillary beds between groups 1 and 2, and groups 1 and 3 on the 10th and 14th post-operative day (P = 0.031 and 0.001, respectively). Healing was better in groups 2 and 3 than in group 1 on the 10th and 14th day.

CONCLUSION

Fusafungine administration after tonsillectomy was found to be beneficial on post-operative pain and wound healing of tonsillary beds in pediatric population.

摘要

目的

探讨夫沙芬净喷雾剂对小儿扁桃体切除术后疼痛及愈合过程的影响。

方法

60例年龄在4至14岁之间的儿童接受扁桃体切除术或腺样体扁桃体切除术。患者被随机分为三组,每组20例。第1组接受抗生素(阿莫西林-克拉维酸)加镇痛药(对乙酰氨基酚)治疗,第2组接受夫沙芬净加镇痛药(对乙酰氨基酚)治疗,第3组仅接受夫沙芬净治疗。第1、2、3组的平均年龄分别为7.8±3.4、6.6±2.9和8.2±3.7岁。术后第1天(T1)、第3天(T3)、第7天(T7)、第10天(T10)和第14天(T14)进行临床评估。

结果

研究组术后第1、3和7天的术后疼痛无显著差异(P>0.05),术后第10天和第14天,第1组与第3组、第1组与第2组之间存在统计学显著差异(分别为P = 0.018和0.037)。第10天和第14天,第2组和第3组的疼痛低于第1组。此外,术后第10天和第14天,第1组与第2组、第1组与第3组之间扁桃体床的愈合时间存在显著差异(分别为P = 0.031和0.001)。第10天和第14天,第2组和第3组的愈合情况优于第1组。

结论

扁桃体切除术后给予夫沙芬净对小儿患者的术后疼痛和扁桃体床伤口愈合有益。

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