小児における口蓋扁桃摘出術術後食の改良の効果

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タイトル別名
  • Effects of Improved Diet After Tonsillectomy in Children
  • 臨床 小児における口蓋扁桃摘出術術後食の改良の効果
  • リンショウ ショウニ ニ オケル コウガイ ヘントウ テキシュツジュツ ジュツゴショク ノ カイリョウ ノ コウカ

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<p>The principal causes of obstructive sleep apnea (OSA) in children are upper airway obstruction caused by the palatine tonsils and adenoid hypertrophy; consequently, tonsillectomy and adenoidectomy are the standard treatments for childhood OSA. However, most patients suffer from pain after a tonsillectomy, and many children cannot consume sufficient calories after surgery. Conventionally, diets based on porridge and chopped side dishes have been offered to children after a tonsillectomy in our hospital. On the other hand, when a child has gastroenteritis or dehydration, parents typically provide an oral rehydration solution or pouch jelly, but few parents currently give rice porridge to children. Although children who are suffering from pain after a tonsillectomy are unlikely to eat rice porridge if they are seeing it for the first time, the diet provided by the hospital has not changed. Here, we improved the diets provided to children after a tonsillectomy. The new diets are characterized by (1) the prohibition of rice porridge, (2) the prohibition of chopped side dishes, and (3) the provision of child-friendly supplements, such as yogurt and ice cream.</p><p>We compared the new improved diet with the conventional diet in terms of food intake, calorie intake, additional need for an intravenous drip, and period of hospitalization. With the new diet, marked improvements in food intake, calorie intake, need for an intravenous drip, and period of hospitalization were seen.</p>

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