Seied-Mohammad Doulabi Seied-Reza, Moradi Alireza, Roozbahany Navid Ahmady, Rezaei Sohbat, Khoshfetrat Niloufar, Shamsian Fahime, Baghi Mehran
Hearing Disorders Research Center, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
ICU Nurse, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Craniomaxillofac Trauma Reconstr. 2023 Sep;16(3):205-210. doi: 10.1177/19433875221092571. Epub 2022 May 15.
This study aimed to investigate Triamcinolone ointment's effect on pain and bleeding after tonsillectomy by suturing method. The present study was performed as a single-blind clinical trial on 200 patients who underwent a total tonsillectomy in the ENT department of Loghman Hakim Hospital in Tehran during 2016. Candidates for total tonsillectomy were randomized into 2 groups one by one. Participants were randomly divided into 2 groups. Both groups matched homologically. Patients in both groups (intervention and control) underwent cold dissection total tonsillectomy. In addition to suturing, in the intervention group, Triamcinolone ointment was used to control the local bleeding at the surgical site. In the control group, only sutures were used to control bleeding. The studied variables included: bleeding and pain 24 hours after surgery, Time to start oral feeding. The frequency of bleeding cases in the first 24 hours are included: 4 patients (5.63%) in the intervention group and 6 patients (8.45%) in the control group ( = 0.01). The average time to start eating for patients who were treated with topical triamcinolone ointment was significantly less than those who were not treated with this ointment. Only 2 patients (2.77%) in the intervention group took analgesics in the first 24 hours after surgery, while and 11 patients (15.3%) in the control group received analgesics in the same time period. In general, the results of this study showed that the use of Triamcinolone ointment in total tonsillectomy could reduce bleeding, analgesics usage, and the time of feeding onset.
本研究旨在探讨曲安奈德软膏对扁桃体切除缝合术后疼痛和出血的影响。本研究作为一项单盲临床试验，于2016年对在德黑兰洛格曼·哈基姆医院耳鼻喉科接受全扁桃体切除术的200例患者进行。全扁桃体切除术的候选者被逐一随机分为2组。参与者被随机分为2组。两组在同源性上匹配。两组患者（干预组和对照组）均接受冷剥离全扁桃体切除术。除缝合外，干预组使用曲安奈德软膏控制手术部位的局部出血。对照组仅使用缝线控制出血。研究变量包括：术后24小时的出血和疼痛情况、开始经口进食的时间。前24小时出血病例的发生率为：干预组4例（5.63%），对照组6例（8.45%）（ = 0.01）。局部使用曲安奈德软膏治疗的患者开始进食的平均时间明显短于未使用该软膏治疗的患者。干预组仅2例（2.77%）患者在术后24小时内服用了镇痛药，而对照组有11例（15.3%）患者在同一时期接受了镇痛药治疗。总体而言，本研究结果表明，在全扁桃体切除术中使用曲安奈德软膏可减少出血、镇痛药的使用以及进食开始时间。
