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Abstract：
Introduction Tonsillectomy is one of the most common operations performed by otorhinolaryngology surgeons worldwide; however, the insufficient quality of the postoperative pain management and effective posttonsillectomy pain relief remain a clinical dilemma. Objective To evaluate the efficacy of applying bismuth iodine paraffin paste (BIPP) to the dissected fossa as an adjuvant therapy for a better outcome in terms of posttonsillectomy pain management and due to its wound healing properties. Methods The present is a prospective randomized control pilot study with 44 patients aged > 7 years who underwent tonsillectomy. The patients were divided into two groups: the control group and the group that had BIPP applied to the dissected tonsillar fossa. The visual analogue scale score and the post-onsillectomy percentage of tonsillar fossa epithelization were recorded and evaluated. Results Both subjectively and objectively, there a was statistically significant pain-relieving effect in the BIPP group within the first 5 postoperative days ( p < 0.05). From postoperative day 3 onward, the dissected area of the tonsillar fossa healed significantly faster in the BIPP group compared with the control group, and it became stable on day 14. Conclusion The topical application of BIPP showed a better pain-relieving effect, it was safe, and hastened wound healing after tonsillectomy.
摘要：
引言扁桃体切除术是全世界耳鼻咽喉科外科医生最常见的手术之一；然而，术后疼痛管理的质量不足和扁桃体切除术后疼痛的有效缓解仍然是一个临床难题。目的评估将铋碘石蜡膏（BIPP）应用于解剖窝作为辅助治疗的疗效，以改善扁桃体切除术后疼痛管理及其伤口愈合特性。方法本研究是一项前瞻性随机对照试验研究，对44例年龄>7岁的患者进行扁桃体切除术。将患者分为两组：对照组和对解剖的扁桃体窝应用BIPP的组。记录并评估视觉模拟评分和扁桃体窝上皮化的扁桃体切除术后百分比。结果主观上和客观上,BIPP组在术后前5天的疼痛缓解效果有统计学意义(p<0.05)。从术后第三天开始，与对照组相比，BIPP组扁桃体窝的解剖区域愈合明显更快，它在第14天变得稳定。结论BIPP局部应用有较好的镇痛效果,很安全,促进扁桃体切除术后伤口愈合.
