| 黄海林,诸葛盼.蜂蜜对儿童低温等离子扁桃体切除术后疼痛、情绪及并发症的影响[J].浙江中西医结合杂志,2026,36(7): |
| 蜂蜜对儿童低温等离子扁桃体切除术后疼痛、情绪及并发症的影响 |
| The effects of honey on postoperative pain, emotions, and complications after low-temperature plasma tonsillectomy in children |
| 投稿时间：2024-12-24 修订日期：2026-06-05 |
| DOI： |
| 中文关键词: 蜂蜜 低温等离子扁桃体切除术 疼痛 情绪 并发症 儿童 |
| 英文关键词:Honey Low Temperature Plasma Tonsillectomy Pain Emotion Complication Children |
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| 中文摘要: |
| 目的 探讨蜂蜜对儿童低温等离子扁桃体切除术后咽部疼痛、情绪及并发症的影响。方法 选取 2024年2月至 2024年10月在金华市中心医院收治的87例儿童扁桃体手术患者,所有患儿均采用低温等离子射频消融双侧扁桃体。通过随机数字表法分成对照组44例(术后标准治疗方案)和观察组43例(在标准治疗方案上使用蜂蜜水漱口后吞下,持续10天)。比较两组术后疼痛程度、临床康复指标(创面愈合时间、疼痛消失时间、住院时间)、负性情绪、并发症及不良反应发生情况。结果 与对照组相比,观察组患儿术后疼痛明显减轻,在第1、3、5、7天疼痛视觉模拟量表(VAS)评分显著降低(p均＜0.05)；观察组在术后10天的儿童焦虑性障碍量表(SCARED)、儿童抑郁障碍量表(DSRSC)评分均显著降低,差异有统计学意义(P<0.05)。观察组术后创面愈合时间、疼痛消失时间、住院时间均少于对照组(p＜0.05),术后总并发症发生率明显低于对照组(p＜0.05),且两组术后总不良发应发生率无显著差异(p＞0.05)。结论 蜂蜜能够显著降低儿童低温等离子扁桃体切除术后咽部疼痛,缓解术后焦虑、抑郁情绪,促进术后康复,降低并发症的发生,且安全性高,值得临床推广应用。 |
| 英文摘要: |
| Objective To investigate the effects of honey on postoperative pharyngeal pain, emotions, and complications in children undergoing low-temperature plasma tonsillectomy. Methods A total of 87 children who underwent tonsillectomy at Jinhua Central Hospital from February 2024 to October 2024 were selected. All children underwent bilateral tonsillectomy using low-temperature plasma tonsillectomy. They were randomly divided into a control group (44 cases, standard postoperative treatment) and an observation group (43 cases, in addition to standard treatment, patients gargled with honey water and swallowed it every 6 hours for 10 days). The postoperative pain level, clinical recovery indicators (wound healing time, pain disappearance time, hospital stay time), negative emotion, complications and adverse reactions were compared between the two groups. Results compared with the control group, the postoperative pain of the observation group was significantly reduced, and the visual analogue scale (VAS) score of pain was significantly reduced on the 1st, 3rd, 5th and 7th days (all P < 0.05); The scores of Screen for Child Anxiety Related Emotional Disorders (SCARED) and the Depression Self-rating Scale for Children (DSRSC) in the observation group were significantly lower than those in the control group 10 days after operation, and the difference was statistically significant (p<0.05). The wound healing time, pain disappearance time and hospitalization time of the observation group were less than those of the control group (P < 0.05), and the total incidence of postoperative complications was significantly lower than that of the control group (P < 0.05), and there was no significant difference in the total incidence of adverse reactions between the two groups (P > 0.05). Conclusion honey can significantly reduce pharyngeal pain after low-temperature plasma tonsillectomy in children, relieve postoperative anxiety and depression, promote postoperative rehabilitation, reduce the occurrence of complications, and has high safety, which is worthy of clinical application. |
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