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地塞米松在成人扁桃体切除术后镇痛中的应用研究
引用本文:梁辉,潘新良,王启荣,韩飞,崔朝阳,于淑东. 地塞米松在成人扁桃体切除术后镇痛中的应用研究[J]. 山东大学耳鼻喉眼学报, 2010, 24(1): 65
作者姓名:梁辉  潘新良  王启荣  韩飞  崔朝阳  于淑东
作者单位: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
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,
收稿时间:2009-11-05
修稿时间:2009-12-25

Dexamethasone use to reduce pain after tonsillectomy in adults
LIANG Hui,PAN Xin-liang,WANG Qi-rong,HAN Fei,CUI Zhao-yang,YU Shu-dong. Dexamethasone use to reduce pain after tonsillectomy in adults[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2010, 24(1): 65
Authors:LIANG Hui  PAN Xin-liang  WANG Qi-rong  HAN Fei  CUI Zhao-yang  YU Shu-dong
Affiliation:1. Department of Otolaryngology, Qilu Hospital of Shandong University, Jinan 250012, China; 2. Department of Otolaryngology, Qianfoshan Hospital of Shandong University, Jinan 250014, China
Abstract:
Objective To investigate the effect of dexamethasone to reduce pain after tonsillectomy in adults. Methods In this study, 97 adultswere 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.
Keywords:Dexamethasone   Tonsillectomy   Adult   Postoperative pain
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