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首页> 外文期刊>Journal of Lasers in Medical Sciences >Effect of Low Level Laser Application at the End of Surgery to Reduce Pain after Tonsillectomy in Adults
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Effect of Low Level Laser Application at the End of Surgery to Reduce Pain after Tonsillectomy in Adults

机译：低水平激光手术结束时减轻成人扁桃体切除术后疼痛的效果

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Introduction: Tonsillectomy is among commonest otorhinolaryngologic surgeries. Many methods have been used to control post surgical pain, but despite it, pain is still one of the problems related to this operation. Recently, due to the non invasiveness of low level lasers, this modality has attracted attention. The purpose of this study is to evaluate the effects of low level laser irradiation at the end of surgery on reduction of pain after tonsillectomy in adults. Methods: In a clinical trial, 60 adult patients, candidates for tonsillectomy were randomly assigned to two groups, A and B, and both groups were anesthetized similarly by the same technique. At the end of surgery, in the case group, the tonsils’ bed were irradiated by infrared laser with 980nm wavelength, 100Hz, 4J/cm2 from the infra mandibular angle. In the controlgroup, the tonsils’ bed had laser therapy with a turned off probe. Follow ing laser treatment, the patients were reversed and extubated and consciousness achieved, pain and odynophagia were assessed at 2, 4, 6, 8, 12 and 24h post surgery based on visual analog scale for pain (VAS) and analgesic consumption. Results: In the laser group frequency of patients with pain sensation in each evaluated hour was lower than in the control group. The amount of pain decrease and analgesic consumption reduction was significantly higher in patients who received laser (P=0.01). Conclusion: Based on the results of this study, use of low level lasers is effective in reducing tonsillectomy post surgical pain in adults.
机译：简介：扁桃体切除术是最常见的耳鼻喉科手术。已经使用了许多方法来控制术后疼痛，但是尽管如此，疼痛仍然是与该手术有关的问题之一。近来，由于低水平激光的无创性，这种方式引起了人们的注意。这项研究的目的是评估在手术结束时进行低水平激光照射对成年人扁桃体切除术后疼痛减轻的影响。方法：在一项临床试验中，将60例成年扁桃体切除术患者随机分为A组和B组，两组均采用相同技术麻醉。在手术结束时，在病例组中，扁桃体床被从下颌下角以980nm波长，100Hz，4J / cm2的红外激光照射。在对照组中，扁桃体床接受了激光治疗，探头关闭。激光治疗后，将患者反转并拔管，并在术后2、4、6、8、12和24h根据视觉模拟疼痛（VAS）和镇痛药量表评估意识，疼痛和吞咽疼痛。结果：在激光组中，每个评估小时内疼痛感患者的频率均低于对照组。接受激光治疗的患者的疼痛减轻量和镇痛剂减少量明显更高（P = 0.01）。结论：基于这项研究的结果，低强度激光的使用可有效减轻成年人手术后扁桃体切除的痛苦。

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