Kimberly A. Sutters is a clinical nurse specialist in the Department of Patient Care Support at Children's Hospital Central California in Madera. Glenn Isaacson is a professor in the Departments of Otolaryngology-Head and Neck Surgery and Pediatrics at the Temple University School of Medicine in Philadelphia. Some of the research on which this article is based was funded by an unrestricted project grant Ms. Sutters received from the National Institute of Nursing Research. Contact author: Kimberly A. Sutters,
Am J Nurs. 2014 Feb;114(2):36-42; quiz 43. doi: 10.1097/01.NAJ.0000443769.04764.65.
Tonsillectomy, used to treat a variety of pediatric disorders, including obstructive sleep apnea, peritonsillar cellulitis or abscesses, and very frequent throat infection, is known to produce nausea, vomiting, and prolonged, moderate-to-severe pain. The authors review the causes of posttonsillectomy pain, current findings on the efficacy of various pharmacologic and nonpharmacologic interventions in pain management, recommendations for patient and family teaching regarding pain management, and best practices for improving medication adherence.
扁桃体切除术用于治疗多种儿科疾病，包括阻塞性睡眠呼吸暂停、扁桃体周围蜂窝织炎或脓肿以及非常频繁的喉咙感染，已知会引起恶心、呕吐和长时间的中度至重度疼痛。作者回顾了扁桃体切除术后疼痛的原因、目前关于各种药物和非药物干预措施在疼痛管理中的疗效的发现、关于疼痛管理的患者和家庭教学的建议，以及改善药物依从性的最佳实践。
