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类固醇治疗儿科腺切除术疼痛-一个前性的多中心随机试验.
Kevin D Pereira1,2, Wiktoria A Gocal2, Anna V Borodianski3
1Department of Otorhinolaryngology-Head and Neck Surgery, University of Maryland School of Medicine, Baltimore, Maryland, USA.
概括
这项研究发现,普雷迪尼索隆和德克萨梅他类固醇疗法在腺切除术后的儿童中提供了类似的疼痛控制和恢复结果. 建议护理人员参与选择最佳治疗计划.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 药理学 药理学是指药理学的学科.
- 疼痛管理 疼痛管理
背景情况:
- 在儿童中,腺切除术后的疼痛管理对于康复至关重要.
- 类固醇疗法通常用于减轻疼痛和炎症.
- 通过比较不同的类固醇选择,可以优化儿科护理.
研究的目的:
- 在接受腺切除术的儿童中,比较德克萨米他和普雷迪尼索隆类类固醇治疗方案之间的术后疼痛控制.
- 评估二次结果,包括止痛药的使用,饮食恢复和不良事件.
主要方法:
- 在三个学术三级护理儿童医院进行了前性随机实用试验.
- 3-10岁的健康儿童接受了手术后的德克萨米他或为期3天的普雷迪尼索隆疗程.
- 通过电话调查,使用Wong-Baker FACES疼痛评级表来评估疼痛.
主要成果:
- 在经过统计调整后,德甲和普雷迪尼索隆组之间没有发现疼痛评分的显著差异.
- 止痛药的使用,恢复正常饮食,护理人员的呼叫,不良反应和急诊室的访问在各组之间是可比的.
- 根据手术技术,没有观察到子组影响.
结论:
- 基于普雷迪尼索隆和甲的疗法在治疗儿科腺切除术疼痛和促进康复方面表现出相似的疗效.
- 这两种疗法都与没有报告的不良事件有关.
- 与护理人员共享决策对于选择最合适的类固醇治疗方案至关重要.
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