术中应用低温生理盐水缓解小儿等离子扁桃体切除术术后疼痛。
Application of intraoperative hypothermic saline to relieve postoperative pain for pediatric coblation tonsillectomy.
机构信息
Department of Otolaryngology-Head and Neck Surgery, Capital Institute of Pediatrics, Beijing, PR China.
Department of Otolaryngology-Head and Neck Surgery, Zhengzhou Central Hospital Affiliated to Zhengzhou University, Zhengzhou, PR China.
出版信息
Int J Pediatr Otorhinolaryngol. 2020 Oct;137:110216. doi: 10.1016/j.ijporl.2020.110216. Epub 2020 Jul 11.
OBJECTIVES
To evaluate the effect of hypothermic saline application for pediatric coblation tonsillectomy on postoperative pain.
METHODS
Forty-eight children with adenotonsillar hyperplasia underwent tonsillectomy ± adenoidectomy. 24 children were in the HTS group (which used hypothermic saline as the coblation medium in operation), the other 24 children with the same age were in the control NTS group (who use normothermic saline as the coblation medium). All children and their parents were asked to complete a daily questionnaire for 7 days following their surgery.
RESULTS
Significant differences were observed when comparing the two outlet water temperatures of the coblation wand both at ablation power and at coagulation power (p = 0.000). Children in HTS group got lower scores than those in the NTS group (p < 0.05). No side effects were observed.
CONCLUSIONS
Using hypothermic normal saline as the media of coblation wand is potential for reduce postoperative pain in pediatric patients while also having no detrimental financial or medical effects on said patients.
目的
评估低温生理盐水在小儿等离子扁桃体切除术中应用对术后疼痛的影响。
方法
48 例腺样体扁桃体肥大患儿行扁桃体切除术+腺样体切除术。24 例患儿为 HTS 组（术中使用低温生理盐水作为等离子刀头的介质），24 例年龄相同的患儿为对照组 NTS 组（使用常温生理盐水作为等离子刀头的介质）。所有患儿及其家长均在术后 7 天内完成每日问卷。
结果
在消融功率和凝血功率下比较等离子刀头的两个出水口温度时，观察到显著差异（p=0.000）。HTS 组患儿的评分低于 NTS 组（p<0.05）。未观察到不良反应。
结论
使用低温生理盐水作为等离子刀头的介质可能会减轻小儿患者的术后疼痛，且对患者的经济和医疗状况无不良影响。
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