引用本文:郭灵贞.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[J].中国临床新医学,2012,5(8):780-782.
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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
郭灵贞
535400 广西,灵山县人民医院耳鼻喉科
摘要:
[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4 h,对照组在术后24 h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、72 h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。
关键词:  射流雾化  地塞米松  庆大霉素  扁桃体切除手术  镇痛
DOI:10.3969/j.issn.1674-3806.2012.08.33
分类号:R 766.9
基金项目:广西卫生厅科研课题(编号:Z2010446)
Clinical observation on the analgesic effect of early jet atomization of dexamethasone combined with gentamicin after tonsillectomy
GUO Ling-zhen
Department of Otorhinolaryngology,the People′s Hospital of Lingshan County, Guangxi 535400,China
Abstract:
[Abstract] 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 general anesthesia were selected and randomly divided into two groups, experiment group and control group. The experiment group received jet atomization of dexamethasone combined with gentamicin 4 h aftar 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.
Key words:  Jet atomization  Dexamethasone  Gentamicin  Tonsillectomy  Analgesia