Buland Khalid, Zahoor Muhammad Umar, Asghar Adnan, Khan Shahram, Zaid Ameer Yasser
Operation Theatre, Combined Military Hospital, Lahore.
J Coll Physicians Surg Pak. 2012 Jun;22(6):349-52.
To determine the efficacy of single dose perioperative intravenous steroid (dexamethasone) for postoperative pain relief in patients undergoing tonsillectomy.
Quasi-experimental study.
Combined Military Hospital, Lahore, from November 2009 to June 2010.
Sixty patients were divided into two equal groups. A single dose of dexamethasone was given to patients of group A during induction of anaesthesia, whereas no steroid was given to the patients in group B. Postoperative pain scores were assessed at 2, 6 and 12 hours in both groups using visual analogue scale (VAS). Pain was classified as mild (0-3), moderate (4-7) and severe (8-10) on visual analogue scale.
There was no significant difference in pain scores after 2 hours postoperatively. Pain scores of Group A at 6 and 12 hours postoperatively were found to be significantly low than Group B.
Single dose perioperative intravenous injection of dexamethasone in tonsillectomy patients reduces postoperative tonsillectomy pain.
确定单剂量围手术期静脉注射类固醇（地塞米松）对扁桃体切除术后患者疼痛缓解的疗效。
准实验研究。
2009年11月至2010年6月，拉合尔联合军事医院。
60例患者被分为两组，每组人数相等。A组患者在麻醉诱导期给予单剂量地塞米松，而B组患者不给予类固醇。两组均在术后2、6和12小时使用视觉模拟评分法（VAS）评估术后疼痛评分。根据视觉模拟评分，疼痛分为轻度（0 - 3）、中度（4 - 7）和重度（8 - 10）。
术后2小时疼痛评分无显著差异。发现A组术后6小时和12小时的疼痛评分明显低于B组。
扁桃体切除患者围手术期单剂量静脉注射地塞米松可减轻扁桃体切除术后疼痛。
