Effect of Non-Steroidal Anti-Inflammatory Drug Mouthwash on Post-Tonsillectomy Pain: Randomized, Controlled Study
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Background and Objectives Altough tonsillectomy is one of the most common otolaryngological procedures, a highly reliable and effective method for reducing postoperative pain has yet to be identified. This study evaluated the efficacy of a non-steroidal anti-inflammatory drug (NSAID) mouthwash on postoperative pain in tonsillectomy patients. Subjects and Method A total of 64 patients who underwent tonsillectomy were randomly assigned to one of two groups (32 patients each). One group received the NSAID mouthwash and the other a distilled water mouthwash. Postoperative pain in the two groups was compared by assessing pain severity 1-9 days postoperatively using a visual analog scale. Results Compared to the distilled water mouthwash group, patients using the NSAID mouthwash showed a statistically significant decrease in postoperative pain over the first 9 postoperative days. Conclusion A NSAID mouthwash may be a simple and effective method for controlling post-tonsillectomy pain when administered in conjunction with routine medications. Korean J Otorhinolaryngol-Head Neck Surg 2017;60(10):512-6
Abstract
Background and Objectives Altough tonsillectomy is one of the most common otolaryngological procedures, a highly reliable and effective method for reducing postoperative pain has yet to be identified. This study evaluated the efficacy of a non-steroidal anti-inflammatory drug (NSAID) mouthwash on postoperative pain in tonsillectomy patients. Subjects and Method A total of 64 patients who underwent tonsillectomy were randomly assigned to one of two groups (32 patients each). One group received the NSAID mouthwash and the other a distilled water mouthwash. Postoperative pain in the two groups was compared by assessing pain severity 1-9 days postoperatively using a visual analog scale. Results Compared to the distilled water mouthwash group, patients using the NSAID mouthwash showed a statistically significant decrease in postoperative pain over the first 9 postoperative days. Conclusion A NSAID mouthwash may be a simple and effective method for controlling post-tonsillectomy pain when administered in conjunction with routine medications. Korean J Otorhinolaryngol-Head Neck Surg 2017;60(10):512-6
참고문헌 (15)
- Lee SW, "Clinical analysis of post-operative hemorrhage after tonsillectomy", Korean J Otorhinolaryngol-Head Neck Surg, 41(12), pp.1590~1593 (1998)
- Sant JP, "Tonsillectomy. Procedure and nursing care", AORN J, 44(5), pp.782~786 (1986)
- Kataura A, "Clinical analyses of focus tonsil and related diseases in Japan", Acta Otolaryngol Suppl, 523, pp.161~164 (1996)
- Goldsher M, "Effects of peritonsillar infiltration on post-tonsillectomy pain. A double-blind study", Ann Otol Rhinol Laryngol, 105(11), pp.868~870 (1996)
- Grainger J, "Local anaesthetic for post-tonsillectomy pain: a systematic review and meta-analysis", Clin Otolaryngol, 33(5), pp.411~419 (2008)
- O’Flaherty JE, "Does ketamine or magnesium affect posttonsillectomy pain in children?", Paediatr Anaesth, 13(5), pp.413~421 (2003)
- Elhakim M, "Ketamine reduces swallowing-evoked pain after paediatric tonsillectomy", Acta Anaesthesiol Scand, 47(5), pp.604~609 (2003)
- Salam MA, "Post-tonsillectomy pain with diathermy and ligation techniques. A prospective randomized study in children and adults", Clin Otolaryngol Allied Sci, 17(6), pp.517~519 (1992)
- Shin JM, "Effect of cold-water cooling of tonsillar fossa and pharyngeal mucosa on post-tonsillectomy pain", Am J Otolaryngol, 35(3), pp.353~356 (2014)
- Yaghini J, "The effect of diclofenac mouthwash on periodontal postoperative pain", Dent Res J (Isfahan), 8(3), pp.146~149 (2011)
- Canbay O, "Topical ketamine and morphine for post-tonsillectomy pain", Eur J Anaesthesiol, 25(4), pp.287~292 (2008)
- Chacra ZA, "Hydrogen peroxide mouth rinse: an analgesic post-tonsillectomy", J Otolaryngol, 34(3), pp.178~182 (2005)
- Scholer DW, "Pharmacology of diclofenac sodium", Am J Med, 80(4B), pp.34~38 (1986)
- Menassé R, "Pharmacological properties of diclofenac sodium and its metabolites", Scand J Rheumatol Suppl, (22), pp.5~16 (1978)
- Dastidar SG, "The antibacterial action of diclofenac shown by inhibition of DNA synthesis", Int J Antimicrob Agents, 14(3), pp.249~251 (2000)