Abstract：
UNASSIGNED: The most important problem in tonsillectomy is pain in the early postoperative period.
UNASSIGNED: We purposed to compare the effects of lidocaine, tetracaine, and articaine application to the peritonsillar bed on post-tonsillectomy pain in children.
UNASSIGNED: The prospective, placebo-controlled study included 80 patients, ages 3-14, who were scheduled for elective tonsillectomy. Patients were randomly divided into four groups. Group 1 received 0.9% NaCl; group 2 received 2% lidocaine; group 3 received 2% tetracaine; and group 4 received 4% articaine to the tonsillary bed for 5 min just after the operation. All patients were evaluated in terms of pain and pain-related adverse events in the postoperative 24 h.
UNASSIGNED: All groups that used local anesthetics had significantly lower pain levels than the control group in the first eight hours (p < .001). Furthermore, the articaine group had a lower pain score than the tetracaine group at the eighth hour (p < .05). The articaine group had a lower pain score at the 16th hour than both the control and tetracaine groups (p < .05). There was no significant difference between the groups at the 24th hour (p > .05).
UNASSIGNED: We recommend the immediate application of topical articaine to the tonsillar bed following the procedure to enhance postoperative pain management.
UNASSIGNED: We purposed to compare the effects of lidocaine, tetracaine, and articaine application to the peritonsillar bed on post-tonsillectomy pain in children.
UNASSIGNED: The prospective, placebo-controlled study included 80 patients, ages 3-14, who were scheduled for elective tonsillectomy. Patients were randomly divided into four groups. Group 1 received 0.9% NaCl; group 2 received 2% lidocaine; group 3 received 2% tetracaine; and group 4 received 4% articaine to the tonsillary bed for 5 min just after the operation. All patients were evaluated in terms of pain and pain-related adverse events in the postoperative 24 h.
UNASSIGNED: All groups that used local anesthetics had significantly lower pain levels than the control group in the first eight hours (p < .001). Furthermore, the articaine group had a lower pain score than the tetracaine group at the eighth hour (p < .05). The articaine group had a lower pain score at the 16th hour than both the control and tetracaine groups (p < .05). There was no significant difference between the groups at the 24th hour (p > .05).
UNASSIGNED: We recommend the immediate application of topical articaine to the tonsillar bed following the procedure to enhance postoperative pain management.
摘要：
■扁桃体切除术中最重要的问题是术后早期的疼痛。
■我们旨在比较利多卡因的效果，丁卡因,阿替卡因应用于扁桃体切除术后的儿童扁桃体周围床。
■预期的，安慰剂对照研究包括80名患者，3-14岁，计划进行选择性扁桃体切除术。将患者随机分为四组。第1组接受0.9％NaCl；第2组接受2％利多卡因；第3组接受2％丁卡因；第4组接受4％阿替卡因在手术后立即在扁桃体床上放置5分钟。对所有患者术后24h的疼痛和疼痛相关不良事件进行评估。
■在最初的八小时内，所有使用局部麻醉药的组的疼痛水平均显着低于对照组（p<.001）。此外，在第8小时,阿替卡因组的疼痛评分低于丁卡因组(p<.05).阿替卡因组在第16小时的疼痛评分低于对照组和丁卡因组（p<0.05）。第24小时各组间无显著差异(p>.05)。
■我们建议在手术后立即在扁桃体床上局部应用阿替卡因，以加强术后疼痛管理。
■我们旨在比较利多卡因的效果，丁卡因,阿替卡因应用于扁桃体切除术后的儿童扁桃体周围床。
■预期的，安慰剂对照研究包括80名患者，3-14岁，计划进行选择性扁桃体切除术。将患者随机分为四组。第1组接受0.9％NaCl；第2组接受2％利多卡因；第3组接受2％丁卡因；第4组接受4％阿替卡因在手术后立即在扁桃体床上放置5分钟。对所有患者术后24h的疼痛和疼痛相关不良事件进行评估。
■在最初的八小时内，所有使用局部麻醉药的组的疼痛水平均显着低于对照组（p<.001）。此外，在第8小时,阿替卡因组的疼痛评分低于丁卡因组(p<.05).阿替卡因组在第16小时的疼痛评分低于对照组和丁卡因组（p<0.05）。第24小时各组间无显著差异(p>.05)。
■我们建议在手术后立即在扁桃体床上局部应用阿替卡因，以加强术后疼痛管理。
