성인 편도수술 환자에서 정맥 내 자가 통증 조절법의 유용성

Background: Post-tonsillectomy pain control is clinically important in otolaryngologic field. The aim of this study is to evaluate the efficacy and the safety of intravenous patients-controlled analgesia (IV PGA) after tonsillectomy in adults compare to non steroidal anti inflammatory drugs (NSAIDs). We also evaluate sexual differences in severity of postoperative pain and in response toward analgesics. Methods: In total, 40 patients underwent tonsillectomy due to frequent tonsillitis were enrolled. After subdivide patients into IV PGA group (Remifentanil 1 mg, 10 men and 10 women) and NASIDs group (Diclofenac sodium 75 mg, 10 men and 10 women), we compare postoperative pain during postoperative 3 days. Results: IV PGA group had significantly less pain at postoperative first, second and third day compared to the group using the NSAIDs (p<0.05). In IV PGA group, postoperative pain decreased more rapidly than NSAIDs group. Women complained more severe pain compared to men in both groups (p<0.05). Conclusions: IV PGA is more effective to control pain compared to NSAIDs in adult tonsillectomy patients. Women felt more intense pain than men. It is important find a suitable postoperative pain control method. (J Clinical Otolaryngol 2015;26225–229)