非甾体镇痛药用于扁桃体手术后止痛的临床观察  

Clinical Observation of Non-steroidal Anti-inflammatory Drugs in Relieve Pain after Tonsil Operation

作　　者：关日邦[1] 胡学军[1] 杨礼明[1] 

机构地区：[1]广东省肇庆市第一人民医院,526021

出　　处：《中国医药指南》2010年第33期10-11,共2页Guide of China Medicine

摘　　要：目的评估非甾体镇痛药在扁桃体手术后的止痛效果。方法肇庆市第一人民医院进行扁桃体切除术后患者分为A组20例:术后只予抗感染、补液、雾化喷喉治疗;B组20例:术后除予抗感染、补液、雾化喷喉治疗外,加用非甾体镇痛药治疗,对比两组伤口疼痛情况和伤口充血情况。结果所有患者在手术后咽喉部疼痛严重、充血严重。对照组在术后第4天仍有较严重的咽喉部充血、疼痛,大部分患者到术后第6、第7天才不感觉疼痛。而实验组于术后第3天就感觉咽喉部疼痛明显好转,术后第4天开始咽喉部充血也明显减轻。两组术后疼痛程度和咽喉部充血对比,差异有显著性P<0.005。结论扁桃体术后加用非甾体镇痛药治疗不但减轻患者的痛苦,还可以减轻术后伤口的水肿,促进伤口恢复。Objective To evaluating the analgesic effect of non-steroidalanti-inflammatory drugs in the patient after tonsil operation. Methods The chosen patient after tonsil operation in the First People’s hospital of Zhaoqing were divided into 2 groups, Group A 20 cases： only administer treatment of anti-infection, transfusion, spray throat. Group B 20 cases not only administer the treatment as Group A but also use non-steroidal anti-inflammatory drugs to ease pain. Compare the grade of ache and hyperaemia in the wound between the two group patients. Results The wound of throat are severe ache and severe hyperaemia in all the patients in the post-operative. the grade of ache of the wound are gradually decline in group B at third day after operation, and the grade of hyperaemia of the wound are gradually decline in group B at fourth day after operation. But the grade of ache and hyperaemia of the wound are still severe in the group A, till sixth or seventh day are decline, Compared the result of ache and hyperaemia between the two groups, the curative effect is obvious（P0.005）. Conclusions After operation of tonsil, use non-steroidal anti-inflammatory drugs to ease pain, not only alleviate affliction but also decrease engorgement of the wound, facilitate wound cicatrize.

关 键 词：非甾体止痛药 扁桃腺 手术 

分 类 号：R766.9[医药卫生—耳鼻咽喉科]