Meybodian Mojtaba, Dadgarnia Mohammadhossein, Baradaranfar Mohammadhossein, Vaziribozorg Sedighe, Mansourimanesh Mahzad, Mandegari Mohammad, Saeidi Eslami Nasir
Department of Otolaryngology- Head and Neck Surgery, Otorhinolaryngology Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Department of Anesthesiology , Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Iran J Otorhinolaryngol. 2019 Mar;31(103):81-86.
The present study aimed to compare the effect of cold diet and diet at room temperature on post-tonsillectomy pain in children.
In the present study a total of 120 children within the age range of 4-12 years who underwent tonsillectomy were randomly assigned to two groups, namely group C with a cold-served diet and group room temperaturewith a room-temperature-served diet postoperatively. Each patient's post-operative pain was evaluated using the Face, Legs, Activity, Cry, Consolability (FLACC) scale prior to oral diet initiation after the operation, before thesecond acetaminophen dose, before the next day breakfast, and before discharge.
Out of 103 children, 48 and 55 children were femaleand male, respectively. The average age of the children was 7 years and 2 months. There was no significant difference in gender and age between the two groups. There were no significant differences in the mean scores of FLACC scale between the two groups at different times, including before starting an oral diet (P>0.15), before the second dose of acetaminophen (P>0.22), before the next day breakfast (P>0.32), and before discharge (P>0.83). In terms of bleedingfrequency, as well as nausea and vomiting, no significant difference was observed between the two groups.
The obtained results of this study indicated that using cold liquids and foods after tonsillectomy did not have a significant effect on post-tonsillectomy pain in children. According to the findings, it is not rational to advise the mother or the child about the temperature of fluids and foods consumed post-tonsillectomy.
本研究旨在比较冷饮食和常温饮食对儿童扁桃体切除术后疼痛的影响。
在本研究中，共有120名年龄在4至12岁之间接受扁桃体切除术的儿童被随机分为两组，即术后食用冷饮食的C组和食用常温饮食的常温组。在术后开始口服饮食前、第二次服用对乙酰氨基酚前、次日早餐前以及出院前，使用面部、腿部、活动、哭闹、可安慰性（FLACC）量表对每位患者的术后疼痛进行评估。
在103名儿童中，分别有48名女性和55名男性。儿童的平均年龄为7岁2个月。两组之间在性别和年龄方面无显著差异。两组在不同时间（包括开始口服饮食前（P>0.15）、第二次服用对乙酰氨基酚前（P>0.22）、次日早餐前（P>0.32）以及出院前（P>0.83））的FLACC量表平均得分无显著差异。在出血频率以及恶心和呕吐方面，两组之间未观察到显著差异。
本研究获得的结果表明，扁桃体切除术后食用冷液体和食物对儿童扁桃体切除术后疼痛没有显著影响。根据研究结果，建议母亲或儿童关于扁桃体切除术后所食用液体和食物的温度是不合理的。
