본문 바로가기
KERD
논문KCI 등재

편도 수술 후 식이제한과 자유식이의 수술 후 출혈에 미치는 영향 비교

Comparison of the Effect of Dietary Restriction and Free Diet on Postoperative Bleeding After Tonsillectomy

0

조회

0

다운로드

1

인용

0

참고문헌

키워드

주제분류이비인후과학

초록

Background and Objectives There have been several studies on the factors affecting posttonsillectomybleeding; however, investigations on the relationship between postoperativebleeding and diet are insufficient. Different countries have different types of food, and whilethere have been studies on the effects of diet in other countries, no such studies have been reportedin Korea. Therefore, we aimed to investigate the relationship between Korean diet andpostoperative bleeding after tonsillectomy. Subjects and Method To compare the postoperative bleeding outcomes, patients who underwenttonsillectomy by a single surgeon between January 2017 and 2020 were divided intothose who had a diet restriction after surgery and those who had a free diet. Postoperativebleeding outcomes were divided according to the degree of intervention for hemostasis andcompared. Results The study included 115 and 124 patients in the diet-restricted group and free-dietgroup, respectively. There were no statistical differences between the two groups in terms ofgender, age, presence of snoring and frequent tonsillitis, and surgical method. Bleeding occurredin four patients in the diet-restricted group and three patients in the free-diet group. There was no statistical difference between the two groups in the frequency and severity ofpostoperative bleeding. Conclusion Since dietary restriction after tonsillectomy was not helpful to prevent postoperativebleeding, a free and sufficient diet after surgery may prove to be better.

Abstract

Background and Objectives There have been several studies on the factors affecting posttonsillectomybleeding; however, investigations on the relationship between postoperativebleeding and diet are insufficient. Different countries have different types of food, and whilethere have been studies on the effects of diet in other countries, no such studies have been reportedin Korea. Therefore, we aimed to investigate the relationship between Korean diet andpostoperative bleeding after tonsillectomy. Subjects and Method To compare the postoperative bleeding outcomes, patients who underwenttonsillectomy by a single surgeon between January 2017 and 2020 were divided intothose who had a diet restriction after surgery and those who had a free diet. Postoperativebleeding outcomes were divided according to the degree of intervention for hemostasis andcompared. Results The study included 115 and 124 patients in the diet-restricted group and free-dietgroup, respectively. There were no statistical differences between the two groups in terms ofgender, age, presence of snoring and frequent tonsillitis, and surgical method. Bleeding occurredin four patients in the diet-restricted group and three patients in the free-diet group. There was no statistical difference between the two groups in the frequency and severity ofpostoperative bleeding. Conclusion Since dietary restriction after tonsillectomy was not helpful to prevent postoperativebleeding, a free and sufficient diet after surgery may prove to be better.

참고문헌 (12)

  1. Schmidt R, "Complications of tonsillectomy : A comparison of techniques", Arch Otolaryngol Head Neck Surg, 133(9), pp.925~928 (2007)
  2. Pynnonen M, "Coblation versus other surgical techniques for tonsillectomy", Cochrane Database Syst Rev, 8(8), pp.CD004619~ (2017)
  3. Losorelli SD, "Posttonsillectomy ibuprofen: Is there a dose-dependent bleeding risk?", Laryngoscope (2021)
  4. Lewis SR, "Nonsteroidal anti-inflammatory drugs and perioperative bleeding in paediatric tonsillectomy", Cochrane Database Syst Rev, 2013(7), pp.CD003591~ (2013)
  5. Hinton-Bayre AD, "Experience is more important than technology in paediatric post-tonsillectomy bleeding", J Laryngol Otol, 131(S2), pp.S35~S40 (2017)
  6. Cook JA, "A randomized comparison of three post-tonsillectomy diets", Clin Otolaryngol Allied Sci, 17(1), pp.28~31 (1992)
  7. Brodsky L, "The effect of post-operative instructions on recovery after tonsillectomy and adenoidectomy", Int J Pediatr Otorhinolaryngol, 25(1-3), pp.133~140 (1993)
  8. Hall MD, "The effect of post-operative diet on recovery in the first twelve hours after tonsillectomy and adenoidectomy", Int J Pediatr Otorhinolaryngol, 31(2-3), pp.215~220 (1995)
  9. Faramarzi M, "Comparing cold", liquid diet vs regular diet on posttonsillectomy pain and bleeding, 2018, pp.159(4), 755~760
  10. Zagólski O, "Do diet and activity restrictions influence recovery after adenoidectomy and partial tonsillectomy?", Int J Pediatr Otorhinolaryngol, 74(4), pp.407~411 (2010)
  11. Messner AH, "Oral fluid intake following tonsillectomy", Int J Pediatr Otorhinolaryngol, 39(1), pp.19~24 (1997)
  12. Korean Society of Otorhinolaryngology-Head and Neck Surgery, "Otorhinolaryngology-head and neck surgery", pp.313~314 (2018), Koonja Publishing Inc

관련 논문AI추천

소아에서 편도 및 아데노이드 절제술 후 식이 시작 시간과술후 합병증 발생 사이의 연관성에 관한 연구강병철, 김순준, 김재현, 남정권, 이태훈대한이비인후과학회 · 대한이비인후과학회지 두경부외과학2024 · 제67권 제2호Advantages of Cold-knife Dissection with Adjunctive Suction Cauterization Adenotonsillectomy: A Useful and Safe Surgical Technique for Pediatric Patients김연지, 박시내, 박정미, 서재현, 한재상대한이비인후과학회 · 대한이비인후과학회지 두경부외과학2021 · 제64권 제6호편도절제술 수술 방법에 따른 술 후 통증 비교 : 고식적인 방법, 섬유소 응고제 국소도포와 Coblation 비교 분석김정석, 이시영, 이현민, 정광태, 한주희대한이비인후과학회 부산,울산,경남 지부회 · 임상이비인후과2013 · 제24권 제1호편도절제술의 4가지 기법에 대한 비교김남국, 김대웅, 김위황, 김주영, 오현명, 최동진대한이비인후과학회 · 대한이비인후과학회지 두경부외과학2013 · 제56권 제12호Comparison of Functional Outcomes after Powered Intracapsular Tonsillectomy with Adenoidectomy and Conventional Extracapsular Tonsillectomy with Adenoidectomy for Pediatric Obstructive Sleep Apnea김정록, 박일호, 방승환, 송재준, 신재민, 우정수, 이종근, 전재민, 채성원대한이비인후과학회 · 대한이비인후과학회지 두경부외과학2020 · 제63권 제4호편도 적출술시 섬유소 응고제(Tachocomb^Ⓡ)이통증 조절에 미치는 영향구수권, 김양재, 김현규, 송창윤, 조규섭, 최장원대한이비인후과학회 부산,울산,경남 지부회 · 임상이비인후과2011 · 제22권 제2호

이 간행물의 다른 논문 (7건)