Analysis Of Pain Characteristics And Pain-related Risk Factors After Otolaryngology Head And Neck Surgery In Children Aged4-12 Years

Objective:To study the characteristics of pain within 24 hours after pediatric otolaryngology head and neck surgery in children aged 4-12 years,and to record the factors that may be related to the degree of pain after pediatric surgery,including age,sex,site of surgery,duration of surgery,children's catastrophic psychology and preemptive analgesia.To analyze whether these factors are the risk factors for postoperative pain in children and to provide evidence for the prediction and prevention of postoperative pain in children.Methods:From February 1,2017 to February 28,2018,preoperative psychological assessment and postoperative pain assessment were performed for all patients aged 4-12 years who were undergoing selective surgery for otolaryngology head and neck surgery in the Hospital.The demographic characteristics such as gender and age,and clinical information such as surgery and anesthesia were recorded.A total of 132 cases were collected.The age,gender,site of operation,duration of operation,children's catastrophic psychology and preemptive analgesia were included,using bivariate analysis and multivariate analysis to find which the risk factors for postoperative pain in children.Results:In the 132 cases of pediatric otolaryngology head and neck surgery,the maximum pain score after pediatric tonsil surgery was 3.57-4.56 points,which was more severe than that of other sites.The difference was statistically significant.The maximum pain scores after operation at other different surgical sites except tonsil were 1.87-2.72 points.Bivariate analysis showed that the site of surgery,duration of surgery,and the implementation of preemptive analgesia was associated with maximum postoperative pain.Multivariate analysis showed that tonsillectomy,longer operative time,and no preemptive analgesia were risk factors for pain after pediatric otorhinolaryngology head and neck surgery.Conclusion:The degree of pain after pediatric otolaryngology head and neck surgery is mainly mild and moderate,and the degree of postoperative pain in the tonsils was more severe than other sites.Tonsillectomy,longer operation time,and no preemptive analgesia are risk factors for maximal pain after pediatric otorhinolaryngology head and neck surgery.