[Pain therapy after tonsillectomy in adults]

Area of Science:

• Anesthesiology
• Otolaryngology

Background:

• Postoperative pain and stress following tonsillectomy are frequently underestimated.
• Traditional analgesia methods often yield ineffective pain management.
• Effective pain control is crucial for patient recovery after tonsillectomy.

Purpose of the Study:

• To analyze and compare the efficacy of different analgesia methods for postoperative pain in adult tonsillectomy patients.
• To evaluate Diclofenac monotherapy against a combination of Tramadol-retard and Naproxen for tonsillectomy pain.
• To assess the impact of analgesia on patient-reported pain and physiological parameters.

Main Methods:

• A study involving 150 adult patients undergoing tonsillectomy.
• Treatment groups received either Diclofenac monotherapy or combined Tramadol-retard and Naproxen.
• Pain was assessed using a visual analog scale, considering subjective pain experiences.
• Circulatory and hemopoiesis parameters were monitored.

Main Results:

• Diclofenac monotherapy demonstrated significantly less effective pain relief than the combination of Tramadol-retard and Naproxen.
• Diclofenac was sufficient only for patients with low pain sensation.
• Combined therapy with Tramadol-retard and Naproxen provided effective analgesia for moderate to severe pain.
• No significant aggravating side effects were observed with either treatment regimen.

Conclusions:

• Combined therapy with Tramadol-retard and Naproxen is a more effective strategy for managing moderate to severe postoperative pain after adult tonsillectomy.
• Diclofenac monotherapy may be inadequate for patients experiencing significant pain post-tonsillectomy.
• Optimizing postoperative analgesia regimens is essential for improved patient outcomes following tonsillectomy.