Department of Otolaryngology, York District Hospital, York, UK.
Clin Otolaryngol. 2011 Dec;36(6):566-70. doi: 10.1111/j.1749-4486.2011.02410.x.
To assess whether the use of ice-lollies after tonsillectomy with or without adenoidectomy in children aged 2-12 reduces pain in the immediate postoperative period.
A prospective, randomised, single-blinded study design consisting of two groups with an intention to treat analysis.
Tertiary referral centre.
Children aged 2-12 undergoing tonsillectomy with or without adenoidectomy.
Pain assessment by nursing staff in the form of the validated modified Children's Hospital of Eastern Ontario Pain Scale at 15, 30 and 60 min and 4 h.
Ninety-two patients were recruited into the study with 46 allocated to receive an ice-lolly and 41 not to receive an ice-lolly after exclusion of those with incomplete data. The two groups were comparable for number, age, sex and diagnosis. The pain score at every time interval was lower in the group that had received the ice-lolly compared with the group that had not. This was statistically significant at 30 (P = 0.008) and 60 min (P = 0.049).
Our data suggest that ice-lollies are a cheap, effective and safe method of reducing postoperative pain up to one hour following paediatric tonsillectomy.
评估在 2-12 岁儿童行扁桃体切除术联合或不联合腺样体切除术术后使用冰棒是否能减轻术后即刻疼痛。
一项前瞻性、随机、单盲研究设计，分为两组，采用意向治疗分析。
三级转诊中心。
2-12 岁行扁桃体切除术联合或不联合腺样体切除术的儿童。
护理人员通过经验证的改良安大略儿童医院疼痛量表在术后 15、30、60 分钟和 4 小时对疼痛进行评估。
共招募了 92 名患者，其中 46 名被分配接受冰棒，41 名未接受冰棒，剔除数据不完整的患者。两组在例数、年龄、性别和诊断方面具有可比性。与未接受冰棒的组相比，接受冰棒的组在每个时间间隔的疼痛评分都较低。这在 30 分钟（P=0.008）和 60 分钟（P=0.049）时具有统计学意义。
我们的数据表明，冰棒是一种廉价、有效且安全的方法，可减少小儿扁桃体切除术后 1 小时内的术后疼痛。
