山东大学耳鼻喉眼学报 ›› 2010, Vol. 24 ›› Issue (01): 65-.

• 论文 • 上一篇    下一篇

地塞米松在成人扁桃体切除术后镇痛中的应用研究

梁辉1,潘新良1,王启荣2,韩飞2,崔朝阳2,于淑东2   

  1. 1. 山东大学齐鲁医院耳鼻咽喉科, 济南  250012;
    2. 山东大学附属千佛山医院耳鼻咽喉科, 济南  250014
  • 收稿日期:2009-11-05 修回日期:2009-12-25 出版日期:2010-02-16 发布日期:2010-02-16
  • 作者简介:梁辉,男,主治医师,主要从事头颈部肿瘤的临床及基础研究工作。 Email:onlinelh@163.com

Dexamethasone use to reduce pain after tonsillectomy in adults

LIANG Hui1, PAN Xinliang1, WANG Qirong2, HAN Fei2, CUI Zhaoyang2, YU Shudong2   

  1. 1. Department of Otolaryngology, Qilu Hospital of Shandong University, Jinan 250012, China;
    2. Department of Otolaryngology, Qianfoshan Hospital of Shandong University, Jinan 250014, China
  • Received:2009-11-05 Revised:2009-12-25 Online:2010-02-16 Published:2010-02-16

摘要:

目的  研究地塞米松在成人扁桃体切除术后镇痛中的应用效果。方法  选取行双侧扁桃体切除术的成人患者97例为研究对象,随机分为实验组(应用地塞米松)和对照组(不应用地塞米松组)。记录患者自手术当天至术后第6天的每日局部疼痛情况并进行评分。结果   在手术当天至术后4天,实验组的术后局部疼痛程度比对照组有较明显的减轻,差异有统计学意义;但在术后第5、6天,两组差异无统计学意义。结论  成人扁桃体切除术后应用地塞米松,可以较好地减轻手术当天至术后第4天的疼痛。

关键词: 地塞米松;扁桃体切除术;成人;术后疼痛

Abstract:

Objective  To investigate the effect of dexamethasone to reduce pain after tonsillectomy in adults.  Methods  In this study, 97 adults were randomly assigned to receive dexamethasone. All patients were asked to note the level of pain during oral intake after operation. Results  Compared with the control group, the patients who received dexamethasone had significantly less pain score during the first 5 days after operation(P<0.01). No difference was found in the 6th and 7th days between the two groups. Conclusion  Postoperative dexamethasone use significantly reduces early post-tonsillectomy pain.

Key words: Dexamethasone; Tonsillectomy; Adult; Postoperative pain

中图分类号: 

  • R766.4
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