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小儿患者中使用 Coblator 辅助扁桃体切除术与双极电凝扁桃体切除术的术后疼痛比较分析

Comparative Post-operative Pain Analysis Between Coblator Assisted and Bipolar Diathermy Tonsillectomy in Paediatric Patients.

作者信息

Bhardwaj Bhanu, Singh Jaskaran

机构信息

Sri Guru Ram Das Institute of Health Sciences And Research, Amritsar, India.

27-C, Sant Avenue, The Mall Amritsar, Amritsar, 143001 India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2019 Mar;71(1):90-94. doi: 10.1007/s12070-018-1403-7. Epub 2018 May 17.

Abstract

Tonsillectomy is one of the commonly performed otolaryngological operations. Despite a range of different techniques post-operative pain remains a major side-effect of this operation. Coblation assisted tonsillectomy is a latest technique of tonsillectomy. This technique is said to be associated with less intra-operative bleeding and less postoperative morbidity. We conducted a study in 100 patients to compare the pain scores between coblation assisted and bipolar diathermy tonsillectomy by FLACC score and Wong Baker scale score. The data so collected was statistically analysed using a test and values were calculated. The value was highly significant ( < 0.001) for both scores in coblation assisted tonsillectomy 6 h postoperatively and on 1st postoperative day ( < 0.05). On 7th post-operative day however there was no significant difference in post-operative pain score using FLACC score in both groups but Wong baker scale scores were still significant. We concluded that post-operative pain was less with coblator assisted tonsillectomy as compared to bipolar diathermy tonsillectomy at least in early post-operative period.

摘要

扁桃体切除术是最常开展的耳鼻喉科手术之一。尽管有一系列不同的技术,但术后疼痛仍是该手术的主要副作用。低温等离子辅助扁桃体切除术是扁桃体切除术的最新技术。据说该技术与术中出血较少和术后发病率较低有关。我们对100例患者进行了一项研究,通过面部表情疼痛评分量表(FLACC)和面部表情疼痛量表(Wong Baker)比较低温等离子辅助扁桃体切除术和双极电凝扁桃体切除术的疼痛评分。收集到的数据使用t检验进行统计学分析并计算p值。术后6小时和术后第1天,低温等离子辅助扁桃体切除术两组评分的p值均具有高度显著性(p<0.001)。然而,术后第7天,两组使用FLACC评分的术后疼痛评分无显著差异,但Wong baker量表评分仍具有显著性。我们得出结论,至少在术后早期,与双极电凝扁桃体切除术相比,低温等离子辅助扁桃体切除术的术后疼痛较轻。

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