Children's pain at home following (adeno)tonsillectomy
Children's pain at home following (adeno)tonsillectomy
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DOI：
10.1053/eujp.2001.0326
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发表时间：
2002-01-01
期刊：
影响因子：
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通讯作者：
Abu-Saad, HH
中科院分区：
文献类型：
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作者：
Hamers, JPH;Abu-Saad, HH
本研究的目的是评估儿童扁桃体切除术后家中疼痛的患病率和严重程度。研究对象为接受子宫内膜切除术、腺样体切除术和扁桃体切除术的161名儿童（男孩86名，女孩75名）的父母。儿童的平均年龄为5.5岁（SD = 2.4，范围1-14）。采用100mm视觉模拟评分（Visual Analogue Scale， VAS）评估患儿手术当日及术后7天的平均疼痛程度。（腺）扁桃体切除术患者的家长也在第7天进行电话访谈。按时间段（手术天数至术后第7天）VAS疼痛强度平均评分，鼓膜切开术组（3.2分）、腺样体切除术组（10.6分）和腺扁桃体切除术组（22.1分）差异有统计学意义（F-2,F-133 = 31.65, p < 0.001）。扁桃体切除术组VAS评分最高（p < 0.001）。腺样体切除术患者疼痛强度评分明显高于鼓膜切开术患者（p = 0.07）。在访谈中，81%的家长表示他们的孩子在家中遭受痛苦。然而，这并不一定是使用镇痛剂的理由。此外，家长们还报告了与疼痛有关的问题，如饮食、液体摄入、呕吐和睡眠障碍。最后，67%的在家的孩子回忆起在医院的剧烈疼痛经历。结论：特别是扁桃体切除术后的儿童在家中出现明显的临床疼痛，疼痛和相关问题的处理需要明确改进。(C) 2002年国际疼痛研究协会欧洲分会联合会。Elsevier Science Ltd.出版。版权所有。
The aim of this study was to evaluate the prevalence and severity of children's pain at home following (adeno)tonsillectomies. The subjects were parents of 161 children (86 boys, 75 girls) undergoing myringotomies, adenoidectomies and (adeno)tonsillectomies. The mean age of the children was 5.5 years (SD = 2.4; range 1-14). Parents were asked to assess the child's average pain on the day of operation and 7 days after the operation, using a 100mm Visual Analogue Scale (VAS). Parents from (adeno)tonsillectomy patients were also interviewed by phone on day 7.The mean VAS pain intensity scores by period (day of operation until 7th day after operation) differed between the myringotomy (3.2), adenoidectomy (10.6), and (adeno)tonsillectomy (22.1) group (F-2,F-133 = 31.65; p < 0.001). The VAS ratings were highest for the tonsillectomy group (p < 0.001). There was a trend that pain intensity scores for adenoidectomies were significantly higher than scores for myringotomies (p = 0.07). In the interviews, 81% of the parents stated that their child suffered pain at home. However, this was not necessarily a reason to administer an analgesic. Furthermore, parents reported pain-related problems like problems regarding eating, fluid intake, vomiting and sleep disturbance. Finally, 67% of the children at home recalled severe pain experience in the hospital.It was concluded that especially following (adeno)tonsillectomies children suffer clinically significant pain at home and that the management of pain and related problems needs to be clearly improved. (C) 2002 European Federation of Chapters of the International Association for the Study of Pain. Published by Elsevier Science Ltd. All rights reserved.