早期应用地塞米松及庆大霉素射流雾化对扁桃体切除手术后镇痛效果的临床观察  

Clinical observation on the analgesic effect of early jet atomization of dexamethasone combined with gentamicin after tonsillectomy

作　　者：郭灵贞[1] 

机构地区：[1]灵山县人民医院耳鼻喉科,广西535400

出　　处：《中国临床新医学》2012年第8期780-782,共3页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

基　　金：广西卫生厅科研课题(编号:Z2010446)

摘　　要：目的探讨早期应用地塞米松及庆大霉素射流雾化在扁桃体切除手术后的镇痛效果。方法选择在全麻下行双侧扁桃体摘除手术后的患者共102例,随机分为实验组(50例)和对照组(52例),实验组在术后4h,对照组在术后24h采用相同的地塞米松及庆大霉素射流雾化治疗。结果实验组术后24、36、48、72h的VAS评分及行为变化评分均优于对照组(P<0.01)。结论早期应用地塞米松及庆大霉素射流雾化行扁桃体切除术后镇痛,方法简单,经济安全,无痛苦,病人易于接受,适用于采取各种麻醉方式的扁桃体术后病人,值得在临床上推广应用。Objective To study the analgesic effect of early jet atomization of dexamethasone combined with gentamicin after tonsillectomy. Methods One hurdred and two patients undergone bilateral tonsillectomy under gen- eral anesthesia were selected and randomly divided into two groups, experiment group and control group. The experi- ment group received jet atomization of dexamethasone combined with gentamicin 4 h altar operation. The control group received the same treatment as that of the experiment group 24 h after operation. Results After operation analgesic effects and changes in life behavior of the experiment group was better than those of the control group （ P 〈 0.01 ）. Conclusion Early jet atomization of dexamethasone combined with gentamicin is simple operation, low cost, safety, painless and better acceptance. It would be suitable for patients undergone various kinds of anesthesia, so it＇ s worthy of recommending in clinical use.

关 键 词：射流雾化 地塞米松 庆大霉素 扁桃体切除手术 镇痛 

分 类 号：R766.9[医药卫生—耳鼻咽喉科]