比较等离子扁桃体切除术与电凝扁桃体切除术治疗小儿患者术后疼痛的效果。
Comparison of postoperative pain in pediatric patients undergoing coblation tonsillectomy versus cautery tonsillectomy.
机构信息
Department of Otolaryngology and Communication Enhancement, Children's Hospital Boston, Boston, Massachusetts 02115, USA.
出版信息
Otolaryngol Head Neck Surg. 2011 Jun;144(6):972-7. doi: 10.1177/0194599811400369. Epub 2011 Apr 4.
OBJECTIVE
To compare postoperative pain scores between monopolar electrocautery and coblation subcapsular tonsillectomy.
STUDY DESIGN
Prospective double-blind randomized study.
SETTING
Tertiary care children's hospital.
SUBJECTS AND METHODS
Between December 2004 and April 2008, 61 children, ages 4 to 20 years (mean age, 10 years; SD, 4 years), were randomized to have one tonsil removed by electrocautery and the other tonsil removed by coblation. Subjects used the FACES scale to rate pain on each side immediately postoperatively, 2 days postoperatively, and 2 weeks postoperatively. Postoperative hemorrhage was also tracked.
RESULTS
Coblation tonsillectomy resulted in statistically less pain than electrocautery immediately after surgery, but this difference was not clinically significant.
CONCLUSIONS
Pediatric pain is similar following monopolar electrocautery or coblation subcapsular tonsillectomy.
目的
比较单极电凝和等离子刀扁桃体切除术术后疼痛评分。
研究设计
前瞻性双盲随机研究。
设置
三级保健儿童医院。
受试者和方法
2004 年 12 月至 2008 年 4 月，61 名年龄 4 至 20 岁（平均年龄 10 岁，标准差 4 岁）的儿童随机分为两组，一组用电凝法切除一侧扁桃体，另一组用等离子刀切除扁桃体。受试者在术后即刻、术后 2 天和术后 2 周使用面部表情疼痛量表（FACES）对两侧的疼痛进行评分。还对术后出血进行了跟踪。
结果
等离子刀扁桃体切除术后即刻疼痛明显低于电凝术，但差异无统计学意义。
结论
小儿疼痛在单极电凝和等离子刀扁桃体切除术下相似。
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