Effect of ice cream intake on post-tonsillectomy pain in children

IF 1.2 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology Pub Date : 2025-02-11 DOI:10.1016/j.ijporl.2025.112254

Faiza Grati , Mohamed Omrane , Imen Zouche , Sirine Ayadi , Wassim Guermazi , Hichem Cheikhrouhou

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引用次数: 0

Abstract

Aims

We aim to evaluate the effect of ice cream intake on post tonsillectomy pain in children.

Material and methods

This study is a prospective, randomized, simple blinded clinical trial. Patients were randomized into two groups: no ice-cream group which received a standard analgesic protocol and the ice cream group which received the same analgesic protocol associated with an ice cream offered for the child before leaving the post anesthesia care unit (PACU). Pain was evaluated by the FLACC scale.

Objectives

The main objective was to compare the FLACC scales between the 2 groups at H6 post-operatively. Accessory objectives included evaluating the time to the first analgesic request and to the first oral intake as well as the occurrence of post operative complications.

Results

Forty-eight children were included. Better pain control was noted in the ice-cream group with significant difference in FLACC scales compared to the no ice-cream group at H6 (p = 0,031), H12 (p = 0,04), H18 (p = 0,024).

The time to first analgesic request was significantly longer in the ice-cream group (p < 0,001).

The time to first oral fluid intake was significantly shorter in the ice-cream group (p = 0,043). Post operative complications were comparable between the 2 groups.

Conclusion

Ice cream intake proved to reduce post tonsillectomy pain and to improve the time to first oral fluid intake without increasing the incidence of post operative complications.

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目的我们旨在评估摄入冰淇淋对儿童扁桃体切除术后疼痛的影响。患者被随机分为两组：无冰淇淋组接受标准镇痛方案，冰淇淋组接受相同的镇痛方案，并在离开麻醉后护理病房（PACU）前为患儿提供冰淇淋。主要目的是比较两组在术后 H6 时的 FLACC 量表。辅助目标包括评估首次要求镇痛和首次口服镇痛药的时间以及术后并发症的发生率。在 H6 (p = 0.031)、H12 (p = 0.04)、H18 (p = 0.024)，冰激凌组的疼痛控制较好，FLACC 量表与无冰激凌组相比差异显著。结论事实证明，摄入冰激凌可减轻扁桃体切除术后的疼痛，缩短首次口服流体的时间，但不会增加术后并发症的发生率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International journal of pediatric otorhinolaryngology 医学-耳鼻喉科学

CiteScore

3.20

自引率

6.70%

发文量

276

审稿时长

62 days

期刊介绍： The purpose of the International Journal of Pediatric Otorhinolaryngology is to concentrate and disseminate information concerning prevention, cure and care of otorhinolaryngological disorders in infants and children due to developmental, degenerative, infectious, neoplastic, traumatic, social, psychiatric and economic causes. The Journal provides a medium for clinical and basic contributions in all of the areas of pediatric otorhinolaryngology. This includes medical and surgical otology, bronchoesophagology, laryngology, rhinology, diseases of the head and neck, and disorders of communication, including voice, speech and language disorders.