Rectal paracetamol and its combination with tramadol for postoperative analgesia in abdominal hysterectomy patients Abdominal histerektomi operasyonlarinda postoperatif analjezide rektal parasetamol ve rektal parasetamole intramusküler tramadol ilavesi
Goztepe Tip Dergisi, cilt.21, sa.4, ss.188-191, 2006 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 21 Sayı: 4
- Basım Tarihi: 2006
- Dergi Adı: Goztepe Tip Dergisi
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.188-191
- Anahtar Kelimeler: Abdominal hysterectomy, Intramuscular tramadol, Postoperative analgesia, Rectal paracetamol
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
In this study, the effectiveness of rectal paracetamol alone and rectal paracetamol combined with tramadol for pain management in abdominal hysterectomy cases is compared. 90 female patients between 18-70 years, in ASA I-II status, scheduled for abdominal hysterectomy were included in the study. Patients were allocated in one of three groups (n=30 in each group) and a standardized anesthesia method was adminestered to all. Following the extubation, patients were given rectal paracetamol 1000 mg in Group I, tramadol 100 mg in Group II and the combination of the two drugs in Group III. Vital signs were recorded at the beginning of the anesthesia, immediately after the extubation and in 30th minutes, 1., 2., 4., 6., 8., 12., 24th hours postoperatively. In the postoperative period, verbal rating score (VRS) values to evaluate the severity of pain and also adverse affects were recorded in above mentioned time intervals. The time of first analgesic requirement and patient satisfaction about analgesic method (poor, fair, good, very good) was questioned 24 hours after the operation. There was no difference between the groups regarding the hemodynamic data, the time of first analgesic requirement, adverse affects and patient satisfaction. In the postoperative follow-up periods, VRS values of GroupI were significantly higher comparing to other two groups (p<0.05) and there was no significant difference between the groups II and III concerning VRS values (p>0.05). It is concluded that the effectiveness of rectal paracetamol alone in management of postoperative pain is not sufficient and also the effectiveness of tramadol alone or in combination with paracetamol did not differ.