A Clinical Survey On The Postoperative Pain Of ENT Surgery

ObjectiveFollow-up ENT patients to find out whether there is severe pain, what are the relative factors, and how many people ask for analgesia, so as to instruct us a more effective performation of postoperative analgesia .Methods200 ENT patients (ASA I -II degree, male 128, female 72. 18-76 years old, body weight 42-80 kg) were divided into 3 groups : ear group 40, nasal group 90, and laryngeal group 70. All patients were operated under general anesthesia by the same inductive and maintenance method.Take down observative indexes: age, sex, body weight, name of operation, operator; BP, HR, SpO2 during operation; VAS when preoperative intravenous puncture, recovery of consciousness immediately after operation, 2 hour, 4hour, 8hour, 24hour after operation; and the position and quality of pain, and whether ask for analgesia initiatively.ResultsPain of nasal group was most severe, 70% patients suffered from moderate to severe pain. The level of pain had relation with surface of surgery(P<0.005), individual pain perception(P<0.01), the number of sponge tent packed in nose(P<0.005). It appeared to be distending pain in head. There were 34.4% patients asked for analgesia. It was mostly mild or moderate pain in laryngeal group. Much was at the cervical incision. But few people asked for analgesia for this. 20% patients need analgesia because of pain on backside. Most patients in ear group described their pain as mild level. Nearly no one asked for analgesia.ConclusionPain after nasal endoscopic surgery was most severe relatively, and...