편도절제술 수술 방법에 따른 술 후 통증 비교 : 고식적인 방법, 섬유소 응고제 국소도포와 Coblation 비교 분석
A Comparison of Post-Operative Pain Scores According to the Tonsillectomy Methods : Conventional Method, Application of Fibrin Glue and Coblation
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Background and Objectives：To compare post-operative pain scores following tonsillectomy by conventional method, fibrin glue that applied to tonsillar bed after tonsillectomy or Coblation. Subject and Methods：216 patients were included in this retrospective study by chart review. The patients were divided into 4 groups. Each group underwent conventional tonsillectomy (Group 1), conventional tonsillectomy and then were applied fibrin glue(Group 2), Coblation tonsillectomy (Group 3) and Coblation tonsillectomy with additional applica-tion of fibrin glue (Group 4). Pain scores were measured at the first (postoperative day, POD1), third (POD3) and tenth (POD10) day of the operation by using visual analogue scale (VAS) score. Results：The patients of Group 1 were more painful significantly than the others, especially POD 1 (p＜0.05). The VAS scores of each group were 5.94±1.33/4.04±1.05/4.42±1.16/4.75±1.41/4.73±1.41 (Group 1/Group 2/Group 3/Group4/mean of total) at POD 1. Conclusions：Application of fibrin glue and/or Coblation tonsillectomy were reduced post-ton-sillectomy pain.
Abstract
Background and Objectives：To compare post-operative pain scores following tonsillectomy by conventional method, fibrin glue that applied to tonsillar bed after tonsillectomy or Coblation. Subject and Methods：216 patients were included in this retrospective study by chart review. The patients were divided into 4 groups. Each group underwent conventional tonsillectomy (Group 1), conventional tonsillectomy and then were applied fibrin glue(Group 2), Coblation tonsillectomy (Group 3) and Coblation tonsillectomy with additional applica-tion of fibrin glue (Group 4). Pain scores were measured at the first (postoperative day, POD1), third (POD3) and tenth (POD10) day of the operation by using visual analogue scale (VAS) score. Results：The patients of Group 1 were more painful significantly than the others, especially POD 1 (p＜0.05). The VAS scores of each group were 5.94±1.33/4.04±1.05/4.42±1.16/4.75±1.41/4.73±1.41 (Group 1/Group 2/Group 3/Group4/mean of total) at POD 1. Conclusions：Application of fibrin glue and/or Coblation tonsillectomy were reduced post-ton-sillectomy pain
참고문헌 (22)
- Nam JG, "Effect of fibrin-coated collagen fleece (TachoComb) on pain and bleeding after adenotonsillectomy in children", Acta Otolaryngol, 131(12), pp.1293~1298 (2011)
- Ozlugedik S, "Can postoperative pains following tonsillectomy be relieved by honey? A prospective, randomized, placebo controlled preliminary study", Int J Pediatr Otorhinolaryngol, 70(11), pp.1929~1934 (2006)
- 박도회, "편도절제술 후 통증에 대한 섬유소 응고제 국소 도포의 효과", 대한이비인후과학회지 두경부외과학, 52(7), pp.591~593 (2009), 대한이비인후과학회
- Willging JP, "Harmonic scalpel tonsillectomy in children: a randomized prospective study", Otolaryngol Head Neck Surg, 128(3), pp.318~325 (2003)
- Timms MS, "Coblation tonsillectomy: a double blind randomized controlled study", J Laryngol Otol, 116(6), pp.450~452 (2002)
- Huskisson EC, "Measurement of pain", Lancet, 2(7889), pp.1127~1131 (1974)
- 김용익, "대한통증학회지에 게재된 논문들에서 사용된통증 측정 방법에 대한 분석", The Korean Journal of Pain, 16(1), pp.33~36 (2003), 대한통증학회
- Choi BH, "Autologous fibrin glue in peripheral nerve regeneration in vivo", Microsurgery, 25(6), pp.495~499 (2005)
- Becker JC, "Fibrin glue, healing of gastric mucosal injury, and expression of growth factors: results from a human in vivo study", Gastrointest Endosc, 61(4), pp.560~567 (2005)
- Gleich LL, "Autologous fibrin tissue adhesive in endoscopic sinus surgery", Otolaryngol Head Neck Surg, 112(2), pp.238~241 (1995)
- Stoeckli SJ, "A prospective randomized double-blind trial of fibrin glue for pain and bleeding after tonsillectomy", Laryngoscope, 109(4), pp.652~655 (1999)
- Vaiman M, "Fibrin sealant reduces pain after tonsillectomy: prospective randomized study", Ann Otol Rhinol Laryngol, 115(7), pp.483~489 (2006)
- Moralee SJ, "The effect of fibrin sealant haemostasis on post-operative pain in tonsillectomy", Clin Otolaryngol Allied Sci, 19(6), pp.526~528 (1994)
- Stevens MH, "Pain reduction by fibrin sealant in older children and adult tonsillectomy", Laryngoscope, 115(6), pp.1093~1096 (2005)
- Radosevich M, "Fibrin sealant: scientific rationale, production methods, properties, and current clinical use", Vox Sang, 72(3), pp.133~143 (1997)
- Philpott CM, "A doubleblinded randomized controlled trial of Coblation versus conventional dissection tonsillectomy on post-operative symptoms", Clin Otolaryngol, 30(2), pp.143~148 (2005)
- Back L, "Traditional tonsillectomy compared with bipolar radiofrequency thermal ablation tonsillectomy in adults", Arch Otolaryngol Head Neck Surg, 127(9), pp.1106~1112 (2001)
- Chang KW, "Randomized controlled trial of Coblation versus electrocautery tonsillectomy", Otolaryngol Head Neck Surg, 132(2), pp.273~280 (2005)
- Temple RH, "Paediatric Coblation tonsillectomy", Int J Pediatr Otorhinolaryngol, 61(3), pp.195~198 (2001)
- 김병국, "Coblation 편도절제술과 전통적 박리 편도절제술의 비교", 대한이비인후과학회지 두경부외과학, 50(7), pp.612~615 (2007), 대한이비인후과학회
- Shields BJ, "Predictors of a child’s ability to use a visual analogue scale", Child Care Health Dev, 29(4), pp.281~290 (2003)
- Tesler MD, "The word-graphic rating scale as a measure of children’s and adolescents’ pain intensity", Res Nurs Health, 14(5), pp.361~371 (1991)