Özden ÖZ CALAY, Hayriye ERTEM VEHİD, Mustafa Şükrü ŞENOCAK, Suphi VEHİD

Bademcik Ameliyatı Sonrası Kusma Önleyici Yaklaşımların Tedavi İçin Gereken Kişi TG Yöntemi ile Değerlendirilmesi

Amaç: Bademcik alınma ameliyatından sonra kusma ve mide bulantısını önlemek için birçok farklı yaklaşım vardır. Bu araştırmada, çocuklarda bademcik ameliyatından sonra mide bulantısıyla ilgili olarak yapılmış çalışmalara ait sonuçlardan yararlanarak ameliyat sonrası mide bulantısını önleyebilmek ve uygun sonuçlara ulaşabilmek için odds ratio OR , atfedilen risk attributable risk yani AR ve number needed to treat NNT metodları uygulandı. Yöntem: Çalışmada, rastgele kontollü deney düzeninde tasarlanmış RCT 15 çalışmaya ait sonuçlar OR, AR ve NNT ile değerlendirildi. Bulgular: Kusmayı önlemek için Acetaminophene göre Diclofenoc, tropisetron + dexamethasone’a göre tropisetron, perphenazinee göre granisetron, droperidol ve normal saline daha iyi bulunmuştur. Ayrıca, yine kusmayı önlemek için 1.2 mg ondansetron plus 1.1 mg dexanethasone normal saline göre ve metaclopramide ondansetrona göre daha etkisiz bulunmuştur. Sonuç: Bu bulgulara göre tonsillektomi sonrası antiemetik kullanılmasının önemli olduğu gözlendi.

Anahtar Kelimeler:

Bademcik ameliyatı, kusma, odds ratio, atfedilen risk, number neened to treat

Evaluation of Prophylactic Approaches Against Vomiting After Tonsillectomy Using Number Needed to Treat Method

Objective s : Many different approaches are available to prevent, vomiting and nausea after tonsillectomy. In this research, study team has benefited from the results of the studies performed to prevent vomiting after paediatric tonsillectomy utilizing odds ratio OR , attributable risk AR and also number needed- to treat NNT methods. Methods: In this study, results of 15 randomized controlled trials RCT were evaluated using OR, AR and NNT. Results: For the prevention of vomiting diclofenac, tropisetron, and granisetron, droperidol and normal saline were found to be more effective than acetaminophen, tropisetron plus dexamethasone, respectively, perphenazine. Also, 1.2 mg ondansetron plus 1.1 mg dexanethasone was detected to be less effective than than normal saline and metaclopramide. Conclusion: According to these findings, the use of antiemetics after tonsillectomy was observedly important.

Keywords:

Tonsillectomy, vomiting, odds ratio, attributable risk, number needed to treat,

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