嚼口香糖对儿童扁桃体切除术后疼痛的影响

IF 1.2 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology Pub Date : 2025-04-21 DOI:10.1016/j.ijporl.2025.112362

Sumbule Koksoy Vayısoglu , Harun Gur , Emine Oncu , Onur Ismi

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引用次数: 0

摘要

目的本研究的目的是探讨嚼口香糖对扁桃体切除术后儿童疼痛的影响。材料与方法本研究为前瞻性、随机对照、单盲介入研究。患者被随机分为两组：对照组接受标准的术后方案，口香糖组接受相同的术后方案。采用Wong Baker量表评估疼痛。结果共75例患者参与研究，其中对照组40例，嚼口香糖组35例。各组儿童的平均年龄和性别分布相似。根据独立的t检验结果，在所有的日子里，咀嚼口香糖和对照组之间的疼痛程度有显著差异。与对照组相比，嚼口香糖组的疼痛程度较低。牙龈组镇痛药的使用也较低(p <；0.05)。广义线性混合模型分析证实，嚼口香糖对疼痛评分有显著的独立影响(p <；0.001)，尽管效果不随时间变化。结论嚼口香糖可作为术后疼痛的非药物治疗方法。在临床实践中，嚼口香糖可能是一种简单、低成本、易于实施的干预措施。

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The effect of chewing gum on postoperative pain in children undergoing tonsillectomy

Aims

The aim of this study was to investigate the impact of chewing gum on postoperative pain in pediatric patients undergoing tonsillectomy.

Material and methods

This study was conducted as a prospective, randomized controlled single-blind interventional study. Patients were randomized into two groups: control group which received a standard postoperative protocol and the chewing gum group which received the same postoperative protocol. Pain was evaluated by the Wong Baker scale.

Results

A total of 75 patients participated in the study, with 40 in the control group and 35 in the chewing gum group. The children's mean age and gender distribution were similar across the groups. According to the independent t-test results, there was a significant difference in pain levels between the chewing gum and control groups on all days. The pain levels in the chewing gum group were lower compared to the control group. Analgesic use was also lower in the gum group on all days (p < 0.05). Generalized linear mixed model analysis confirmed a significant independent effect of chewing gum on pain scores (p < 0.001), though the effect did not vary over time.

Conclusion

In conclusion, chewing gum may serve as a non-pharmacological method for postoperative pain management. In clinical practice, chewing gum could be a simple, low-cost, and easy-to-implement intervention.

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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.