JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2014, Vol. 28 ›› Issue (6): 57-60.doi: 10.6040/j.issn.1673-3770.0.2014.153

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Pain evaluation with surface electromyogram in patients after tonsillectomy

ZHANG Jie, LI Jin-rang, LIU Tao   

  1. Department of Otolaryngology & Head and Neck Surgery, Navy General Hospital, Beijing 100048, China
  • Received:2014-05-07 Published:2014-12-16

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Abstract: Objective To study the method to evaluate the degree of pain in the patients after tonsillectomy with surface EMG. Methods Thirty two patients (15 men, 17 women; aged from 20 to 60 years) who underwent tonsillectomy in our hospital were included in this study. Swallowing surface electromyogram (sEMG) was examined before the operation, and the first and second day after the operation. Meantime, the degree of pain was evaluated using the visual analogue scale (VAS) on the first and second day after the operation. Results In all swallow styles, the duration and amplitudes of sEMG of dry swallow after the operation were shorter and less than those before the operation. The durations of sEMG o of 20 mL water swallow after the operation were longer than those the before operation, while the amplitudes were less. There were no significant differences in VAS, duration and amplitudes of sEMG in dry swallow, 20 mL water swallow between the two days after the operation. The change of duration and amplitudes of sEMG after the operation showed no correlation with the VAS score (P>0.05). Conclusion sEMG can reflect the changes of the muscular activity during swallowing after tonsillectomy because of pain. The changes of sEMG may be used as an indicator for analgesics in the future, but it cannot be used to evaluate the degree of the pain after tonsillectomy.

Key words: Tonsillectomy, Pain, Visual Analogue Scale, Surface Electromyography

CLC Number: 

  • R766.9
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