Management of pain after tonsillectomy: a prospective, randomized clinical study

Yıl 2009, Cilt: 19 Sayı: 1, 1 - 8, 01.02.2009

Nusret İnci Oğuz Basut Fikret Kasapoğlu Hamdi Hakan Coşkun

Öz

Objectives: We evaluated the alleviation of posttonsillectomy pain with systemic and topical applications. Patients and Methods: Data obtained from 78 patients 28 females, 50 males who had undergone tonsillectomy for recurrent tonsillitis by conventional cold surgery were reviewed with prospective, randomized clinical study. Initially, the patients were assigned into topical and systemic drug groups. These groups were then divided into three sub-groups; i clindamycin, dexamethasone, and control saline ii groups for the topical drug group; iii cefprozil, amoxicillin+clavulanate and control no medications except analgesic for the systemic drug group. The intensity of pain perceived by the patients at 21 different times was assessed by visual analog scale and facial scale. Results: No significant relation was found between topical or systemic antibiotic use and pain intensity after tonsillectomy. Conclusion: Neither topical application nor systemic administration is significantly superior to the other for postoperative management of pain.

Anahtar Kelimeler

Analgesics, clinical trial, pain, postoperative, tonsillectomy

Tonsillektomi sonrası ağrının tedavisi: Prospektif, randomize klinik çalışma

Öz

Amaç: Tonsillektomi sonrası oluşan ağrının, sistemik ve topikal uygulamalarla ortadan kaldırılması değerlendirildi.Hastalar ve Yöntemler: Tekrarlayan tonsillit nedeniyle, geleneksel soğuk cerrahi yöntem kullanılarak tonsillektomi uygulanan 78 hastanın 28 kadın, 50 erkek bilgileri, prospektif, randomize klinik çalışma için değerlendirildi. Hastalar ilk olarak topikal ve sistemik ilaç gruplarına ayrıldı. Sonrasında bu gruplar, kendi içinde üç alt gruba ayrıldı; i topikal ilaç grubu klindamisin, deksametazon ve kontrol salin , ii sistemik ilaç grubu sefprozil, amoksisilin-klavulanat ve iii kontrol analjezik dışında ilaç verilmedi gruplarına ayrıldı. Hastalar tarafından algılanan ağrının şiddeti 21 farklı zamanda görsel analog skala ve fasiyal skala ile değerlendirildi. Bulgular: Sistemik ve topikal antibiyotik kullanımıyla tonsillektomi sonrası oluşan ağrının şiddetinde belirgin hiçbir etkileşimin olmadığı gözlendi. Sonuç: Ne topikal uygulama ne de sistemik ilaç kullanımı ameliyat sonrası ağrı tedavisinde birbirine üstün değildir

Anahtar Kelimeler

Analjezik, klinik çalışma, ağrı, ameliyat sonrası, tonsillektomi

Kaynakça

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