Baharudin ABDULLAH, Norhafiza Mat LAZİM, Rosdan SALİM

Tonsillektomi sonrası ağrıyı azaltmada Tualang balının etkinliği

Amaç: Bu yazıda tonsillektomi sonrası ağrıyı azaltmada Tualang balının etkinliği değerlendirildi.Hastalar ve Yöntemler: Çalışmaya tonsillektomi geçirmesi planlanan 63 hasta 31 erkek, 32 kadın; ort. yaş 10±4.16 yıl; dağılım 3-18 yıl dahil edildi. Hastalar rastgele iki gruba ayrıldı. Tedavi grubuna ameliyat sırasında topikal Tualang balı verildi, bunu birinci ve ikinci gün günde üç kere intravenöz sultamisilini takiben beş gün günde iki kere oral sultamisilin ile yedi gün günde üç kere oral Tualang balı tüketimi izledi. Kontrol grubuna iki gün intravenöz sultamisilini takiben beş gün günde iki kere oral sultamisilin verildi. Hastaların ağrısı görsel analog skalasına, ağrı nedeniyle gece uyanma sıklığına ve ameliyat sonrası bir ila yedinci gün ek analjezik kullanımına göre değerlendirildi. Her iki grubun sonuçları istatistiksel olarak karşılaştırıldı.Bulgular: Erken ameliyat sonrası ağrı Tualang balı + antibiyotik grubunda nispeten daha hızlı iyileşmekle beraber, gruplar arasındaki farklılık istatistiksel olarak anlamlı değildi. Ameliyat sonrası yedinci günde Tualang balı + antibiyotik grubundaki hastaların tamamı %100 sadece antibiyotik kullanan gruba kıyasla ağrı hissetmedi. Gece uyanma ve analjezik kullanma sıklığı Tuareng balı + antibiyotik grubunda sadece antibiyotik kullanan gruba kıyasla daha düşüktü.Sonuç: Erken ameliyat sonrası ağrı Tualang balı + antibiyotik grubunda nispeten daha hızlı iyileşti; bu durum balın sakinleştirici özelliğine bağlanabilir

Anahtar Kelimeler:

Bal, ağrı giderimi, tonsillektomi

The effectiveness of Tualang honey in reducing post-tonsillectomy pain

Objectives: This study aims to evaluate the effectiveness of Tualang honey in reducing post-tonsillectomy pain. Patients and Methods: The study included 63 patients 31 males, 32 females; mean age 10±4.16 years; range 3 to 18 years who were planned to undergo tonsillectomy. Patients were randomized into two groups. Treatment group received topical Tualang honey intraoperatively followed by oral consumption of Tualang honey three times daily for seven days with intravenous sultamicillin three times daily for first and second day followed by oral sultamicillin twice daily for five days. Control group received intravenous sultamicillin for two days followed by oral sultamicillin twice daily for five days. Patients’ pain was assessed according to visual analog scale, frequency of waking up at night due to pain, and additional use of analgesic from postoperative first to seventh day. Results from each group were statistically compared. Results: Early postoperative pain was relieved slightly faster in Tualang honey + antibiotic group; however, the difference between groups was not statistically significant. On postoperative seventh day, all of patients 100% in Tualang honey + antibiotic group experienced no pain compared to the antibiotic only group. Frequencies of waking up at night and use of analgesic were lower in the Tualang honey + antibiotic group compared to antibiotic only group. Conclusion: Early postoperative pain was relieved slightly faster in Tualang honey + antibiotic group, which may be attributed to the soothing effect of honey.

Keywords:

Honey, pain relief, tonsillectomy,

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