地塞米松减轻扁桃体切除术后疼痛的效果观察.pdfVIP

·936 · JClin0torhinolaryngolHeadNeckSurg(China)，Oct200．vo ! 地塞米松减轻扁桃体切除术后疼痛的效果观察* 阿马尔 王志斌 [摘要] 目的：评价地塞米松静脉注射对减轻扁桃体切除术后疼痛的效果。方法：将 6o例扁桃体切除术后 患者随机分为实验组和对照组各 3O例 。实验组给予消炎药和地塞米松 ，对照组给予消炎药和安慰剂 ，连用 4d。 12岁以上患者采用视觉模糊评分法进行疼痛评估，12岁以下患儿采用Wong—Baker面部表情量表法评估，记录 术后 5d疼痛的评分，每天 2次。结果：两组患者 的咽喉疼痛及吞咽疼痛症状随术后时间延长逐渐减轻 ，实验组 较对照组 明显减轻 (均PO．05)。结论 ：扁桃体切除术后应用地塞米松静脉注射利于术后咽喉疼痛及吞咽疼痛 的改善 。 [关键词] 扁桃体切除术 ；疼痛；地塞米松 ；视觉模糊评分法 ；Wong—Baker面部表情量表法 [中图分类号] R766．18 [文献标志码] A [文章编号] 1001-1781(2009)20—0936—03 Effectofdexamethasoneonposttonsillectomypain AMMAR Gaber W ANG Zhibin (DepartmentofOtorhinolaryngology—HeadandNeckSurgery，TongjiHospital，TongjiMedical College，HuazhongUniversityofScienceandTechnology，W uhan，430030，China) Correspondingauthor：WANG Zhibin(Email：zbwang@tjh．tjmu．edu．cn) Abstract 0bjective：Toassesstheeffectofacourseofintravenousdexamethasoneonpainaftertonsillecto— my．M ethod：Sixtypatientswhounderwenttonsillectomyoradenoidectomyandtonsillectomywererandomlydivid— edintoexperimentalgroupandcontrolgroup．Postoperatively，30patientsinexperimentalgroupreceivedanti—in— flammatorydruganddexamethasonefor4days．andtheother30patientsincontrolgroupreceivedanti-inflamma— torydrugandplacebo．Degreeofpostoperativepainwasmeasuredwithvisualanaloguescaleinthepatientsmore than12yearoldandwithWongBakerfacespainscaleinthepatientslessthanorequaltO12yearold．Themeas— urementwasmadetwicedailyfor5days．Result：Duringthepostoperativeperiod，thescalevaluewasdecreasing everydayintheallpatients．Butthevaluein experimentalgroupwaslessthan thatin controlgroup，and the differencewasstatisticallysignificant(P 0．05)，Conclusion：Dexamethasonegiveninthisregimereducespostop— erativepainandodynophagiaaftertonsillectomy． Keywords tonsillectomy；pain；dexamethason