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[不同非甾体类抗炎药在腭扁桃体手术后儿童术后早期消除疼痛综合征中的应用]

[The application of different non-steroidal anti-inflammatory drugs for the elimination of pain syndrome during the early postoperative period in the children following the surgical interventions on palatine tonsils].

作者信息

Karpova E P, Tulupov D A, Fedotov F A

机构信息

Department of Pediatric Otorhinolaringology, Russian Medical Academy of Continuous Professional Education, Moscow, Russia, 125993.

出版信息

Vestn Otorinolaringol. 2017;82(5):48-51. doi: 10.17116/otorino201782548-51.

Abstract

The present clinical study included 120 children at the age varying from 6 to 18 tears who had undergone radiowave tonsillotomy followed by symptomatic therapy during the early postoperative period with the application of different non-steroidal anti-inflammatory drugs. All the patients were randomly allocated to four groups each comprised of the equal number of patients. Those of group 1 were treated with ketoprofen lysine salt (КLS) in the form of a solution for oral intake in case of complaints of severe pain in the throat. The patients of group 2 received courses of ketoprofen lysine salt therapy per os thrice daily during 3 days after the surgical intervention. The patients of group 3 were given ibuprofen per os up to three times every day in case of complaints of severe pain in the throat. The patients of group 4 were treated with ketoprofen lysine salt in the form of a solution for the local application twice daily during 3 days after the surgical intervention. The results of the analysis with the use of the analog-visual scale have demonstrated that a decrease in pain intensity within 24 hours after surgery was much more pronounced in the patients of group 2 in comparison with those of the remaining three groups (р<0.05). The difference of pain intensity in the throat evaluated based on the analog-visual scale between the patients of groups 1, 3, and 4 was insignificant (p>0.05). None of the children exhibited the signs of bleeding throughout the entire observation period. It can be concluded that a course of therapy with the use of ketoprofen lysine salt for oral intake during the early period after the surgical intervention for radiowave palatine tonsillotomy has some advantages over a single intake of the analogous preparation (for alleviation of strong pain in the throat), an ibuprofen syrup or a ketoprofen lysine salt solution for throat wash.

摘要

本临床研究纳入了120名年龄在6至18岁之间的儿童,这些儿童均接受了射频扁桃体切除术,并在术后早期采用不同的非甾体抗炎药进行对症治疗。所有患者被随机分为四组,每组患者数量相等。第1组患者在出现咽喉剧痛时,采用赖氨酸酮洛芬盐(КLS)口服液进行治疗。第2组患者在手术干预后的3天内,每天口服赖氨酸酮洛芬盐疗程3次。第3组患者在出现咽喉剧痛时,每天口服布洛芬3次。第4组患者在手术干预后的3天内,每天使用赖氨酸酮洛芬盐溶液进行局部应用2次。使用视觉模拟量表进行分析的结果表明,与其他三组相比,第2组患者在术后24小时内疼痛强度的降低更为明显(р<0.05)。第1组、第3组和第4组患者基于视觉模拟量表评估的咽喉疼痛强度差异不显著(p>0.05)。在整个观察期内,没有一名儿童出现出血迹象。可以得出结论,在射频腭扁桃体切除术后早期,口服赖氨酸酮洛芬盐进行疗程治疗比单次服用类似制剂(用于缓解咽喉剧痛)、布洛芬糖浆或用于咽喉冲洗的赖氨酸酮洛芬盐溶液具有一些优势。

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