OBJECTIVE@#To explore the characteristics of
post-operative pain following coblation
tonsillectomy and/or
adenoidectomy in
children with
sleep-disordered breathing (SDB) and explore the correlation between the first day
post-operative pain scores and age and operating
time .@*
METHOD @#1) A total of 113 SDB
children scheduled to undergo coblation
tonsillectomy and/or
adenoidectomy were recruited. 113
children were divided into two groups according to the
method of operation,
children who underwent coblation
tonsillectomy and
adenoidectomy were enrolled in study group one and
children who underwent coblation
adenoidectomy only were in study group two. Be sides,
children of study group one with a
history of chronic
tonsillitis were in chronic
tonsillitis group,
children without a
history of chronic
tonsillitis were in non-chronic
tonsillitis group. 2) The
parents scored
pain in their
children on a VAS (anchored by "no
pain " at 0 and "worst
pain "
at 10 ) in the morning, before using any
analgesics and having
breakfast , over the first 3 and the seventh post-operative days. 3)
Post-operative pain scores were compared between both the study group one and two and chronic
tonsillitis group and non-chronic
tonsillitis group. Futhermore, the correlation between the first day
post-operative pain scores and age and operating
time were also analysed.@*RESULT@#1) The difference of
post-operative pain scores over the first 3 and the seventh post-operative days were significant between the study group one and group two (P0.05). 3) The first day
post-operative pain scores was correlated with age (r=0.273, P<0.01) and operating
time (r=0.423, P<0.01).@*CONCLUSION@#The first day
post-operative pain scores was correlated with age and operating
time .
Children with a
history of chronic
tonsillitis were more painful than
children without the
history .