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用冷水进行桃体切除术的患者中平均术后疼痛的变化与通常做法相比:实用性试验
Haissan Iftikhar1, Nida Zahid2, Adan Zubair2
1Department of Otolaryngology Queen Elizabeth Hospital Birmingham UK.
概括
桃体洞的冷水灌显著减少了桃体切除术后的疼痛. 这种安全且具有成本效益的方法提供了一种有希望的方法,以改善这种常见的耳鼻喉手术后患者的康复.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术创新 在外科创新.
- 疼痛管理 疼痛管理
背景情况:
- 桃体切除术是一种常见的耳鼻喉科手术.
- 单极可能会增加桃体切除术后的疼痛,原因是热损伤.
- 冷却手术部位可以通过散热来减轻疼痛.
研究的目的:
- 为了比较接受冷水灌和没有灌的患者的桃体切除术后疼痛评分.
- 评估冷水灌在桃体切除术后减轻疼痛的有效性.
主要方法:
- 这是一项准实验性试验,涉及78名接受桃体切除术的患者.
- 患者被分为两组:冷水灌桃床或没有灌.
- 在手术后的0,1,3,5和7天,使用视觉模拟尺度评估疼痛.
主要成果:
- 冷水灌导致1日,3日,5日和7日疼痛评分显著降低 (p=0.001).
- 干预组在整个观察期内经历了疼痛的减少.
- 在这两组中都没有报告重新入院或手术并发症.
结论:
- 桃体洞的冷水灌是一种有效的方法,可以减少桃体切除术后的疼痛.
- 这种技术是安全的,具有成本效益,易于实施.
- 建议进行进一步的随机对照试验,采用更大的样本大小来验证这些发现.
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