Department of ENT-HNS, Kathmandu Medical College, Sinamangal, Kathmandu, Nepal.
Department of Surgery, Nepal National Hospital, Kalanki, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2021 Oct 15;59(242):1021-1025. doi: 10.31729/jnma.7120.
Tonsillectomy is one of the most common surgical procedures performed by Otolaryngologists world-wide. There are various techniques for tonsillectomy, but none of the techniques has been accepted as the best one universally. Despite the efforts of all the surgeon and use of recent techniques, some post-tonsillectomy morbidity is unavoidable. The main objective of our study is to find out the mean duration for cessation of pain among the patients following tonsillectomy operation in a tertiary care hospital.
This is a descriptive cross-sectional study of 104 patients who underwent tonsillectomy in department of otolaryngology of Kathmandu Medical College from 1st August 2020 to 31st July 2021. Convenient sampling technique was used. Ethical Approval was taken from Ethical Clearance Committee of hospital (Reference number: 2207202005). Proforma containing visual analog score was given to every patient for scoring the severity of postoperative pain. The scoring of pain was done from 1st postoperative day till 14th postoperative day. Descriptive statistical analysis was done.
One hundred four patients had undergone tonsillectomy in our hospital. The mean duration for cessation of pain was 10 (9.75±1.97) days with mean duration of analgesia taken of 11 (10.84±2.15) days. The mean duration after tonsillectomy operation for cessation of pain on drinking was 8 (7.51±1.19) days and on eating solids 12 (11.59±2.56) days. Patients reported the first normal night of sleep at seven (6.90±1.41) days and return to normal daily activities 11 (11.18±2.53) days.
From the study concluded that the mean duration for cessation of pain after tonsillectomy is slightly lower than other similar study.
扁桃体切除术是耳鼻喉科医生在全球范围内进行的最常见的手术之一。有各种扁桃体切除术技术，但没有一种技术被普遍认为是最好的。尽管所有的外科医生都在努力并使用最新的技术，但仍不可避免地会出现一些扁桃体切除术后的并发症。我们研究的主要目的是在一家三级保健医院确定扁桃体切除术后患者疼痛停止的平均时间。
这是一项回顾性横断面研究，共纳入了 2020 年 8 月 1 日至 2021 年 7 月 31 日期间在加德满都医学院耳鼻喉科接受扁桃体切除术的 104 名患者。采用便利抽样技术。本研究已获得医院伦理审查委员会的批准（参考编号：2207202005）。每位患者均发放一份包含视觉模拟评分的表格，用于对术后疼痛的严重程度进行评分。疼痛评分从术后第 1 天开始，一直持续到术后第 14 天。采用描述性统计分析。
我院共有 104 例患者接受了扁桃体切除术。疼痛停止的平均时间为 10 天（9.75±1.97），平均镇痛时间为 11 天（10.84±2.15）。扁桃体切除术后停止饮水疼痛的平均时间为 8 天（7.51±1.19），停止固体食物疼痛的平均时间为 12 天（11.59±2.56）。患者在术后第 7 天报告第一晚正常睡眠，第 11 天恢复正常日常活动。
本研究表明，扁桃体切除术后疼痛停止的平均时间略低于其他类似研究。
