[Comparative study of two analgesic methods of postoperative children with tonsillectomy].

Objective

To observe the changes of pain response in two analgesic methodes of postopetative children with tonsillectomy.Method:One hundred and twenty four cases of Children with tonsillectomy were randomly divided into groups A and B (for 60 cases and 64 cases). After the operation, the group A was given patient controlled intravenous analegesia, and the group B was given a small dose (5 mg/kg/sub) of ibuprofen in accordance with the age and weight of the child. FLACC was used for the analgesic score. Check the correlation between white blood cells (WBC), serum c-reactive protein (CRP) and cortisol (COR) concentration.Result:Among the four indicators of pain stress. The best judgement method for he pain performance is FLACC and COR, and the poor judgement method is the result of CRP and WBC. After 4 hours, 24 hours, 36 hours of three periods, FLACC scores of children with group B compared with group A at the same time was statistically significant (P< 0.05). There is no statistical significance between each group. There was statistically significant among the concentration of WBC, CRP and COR etc. There were statistically significant in COR's concentration of 24 hours among group A and B(P< 0.05).

Conclusion

The judgment for children with tonsillectomy stress can be used by FLACC pain score and Serum COR concentration. Ibuprofen suspension liquid oral can reduce the stress pain response in children, safety satisfy with postoperative analgesia.