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Dergiler / Turkish Journal of Medical Sciences / 2015 / Cilt: 45 - Sayı: 2

Comparison of the analgesic effects of paracetamol and tramadol in lumbar disc surgery

Mehmet Ziya YILMAZ
Bahriye Binnur SARIHASAN
Ebru KELSAKA
Nilay TAŞ
Aysun Çağlar TORUN
Ersin KÖKSAL
Enis KURUOĞLU
Sayfa
438–442
Yayın Tarihi
2015-08-13
DOI
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Tramadol was more effective in the treatment of postoperative pain after lumbar disc surgery.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Background/aim: To compare the postoperative analgesic efficacy and side effects of paracetamol and tramadol in patients undergoing lumbar disc surgery.
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Temel Bulgular & Veri:Materials and methods: Group P (paracetamol group) was given 1 g of paracetamol intravenously 30 min before the end of the operation and 1 g each day at 6-h intervals.
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Sonuç & Katkı:Tramadol was more effective in the treatment of postoperative pain after lumbar disc surgery.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Paracetamol · tramadol · postoperative analgesia

Özet

Background/aim: To compare the postoperative analgesic efficacy and side effects of paracetamol and tramadol in patients undergoing lumbar disc surgery. Materials and methods: Group P (paracetamol group) was given 1 g of paracetamol intravenously 30 min before the end of the operation and 1 g each day at 6-h intervals. Group T (tramadol group) was given 1.5 mg/kg of tramadol as a loading dose and patient-controlled analgesia for 1 day. Hemodynamic parameters, modified Aldrete score, Ramsay sedation scale score, patient satisfaction scale (PSS) score, visual analog scale (VAS) score, nausea/vomiting scale score, and additional analgesic needs/times were recorded. Results: PSS scores were significantly higher in Group T (P < 0.05). The total analgesic consumption was significantly higher in Group P. There were no significant differences in the VAS scores at any time points. Twenty-one patients in Group P and 8 patients in Group T needed additional analgesia (P < 0.05). The first additional analgesic time was earlier in Group P, and pain was more evident at the 15th minute and at hours 2 and 6 (P < 0.05). Conclusion: Paracetamol alone was not able to provide effective analgesia. Tramadol was more effective in the treatment of postoperative pain after lumbar disc surgery.

Abstract

Background/aim: To compare the postoperative analgesic efficacy and side effects of paracetamol and tramadol in patients undergoing lumbar disc surgery. Materials and methods: Group P (paracetamol group) was given 1 g of paracetamol intravenously 30 min before the end of the operation and 1 g each day at 6-h intervals. Group T (tramadol group) was given 1.5 mg/kg of tramadol as a loading dose and patient-controlled analgesia for 1 day. Hemodynamic parameters, modified Aldrete score, Ramsay sedation scale score, patient satisfaction scale (PSS) score, visual analog scale (VAS) score, nausea/vomiting scale score, and additional analgesic needs/times were recorded. Results: PSS scores were significantly higher in Group T (P < 0.05). The total analgesic consumption was significantly higher in Group P. There were no significant differences in the VAS scores at any time points. Twenty-one patients in Group P and 8 patients in Group T needed additional analgesia (P < 0.05). The first additional analgesic time was earlier in Group P, and pain was more evident at the 15th minute and at hours 2 and 6 (P < 0.05). Conclusion: Paracetamol alone was not able to provide effective analgesia. Tramadol was more effective in the treatment of postoperative pain after lumbar disc surgery.

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Bu Makaleye Atıf Yap

YILMAZ, M. Z., SARIHASAN, B. B., KELSAKA, E., TAŞ, N., TORUN, A. Ç., KÖKSAL, E., KURUOĞLU, E. (2015). Comparison of the analgesic effects of paracetamol and tramadol in lumbar disc surgery. Turkish Journal of Medical Sciences, Cilt: 45 - Sayı: 2, 438–442. https://ajindex.com/articles/114018

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