title

مقایسه اثرات شیاف ایندومتاسین، استامینوفن و دیکلوفناک سدیم با اپیوئیدها در کنترل درد بعد از جراحی سزارین

اخوان اکبری, قدرت and رحیم زاده, پوپک and اخوان اکبری, پوران and حیدریان, مجید (1388) مقایسه اثرات شیاف ایندومتاسین، استامینوفن و دیکلوفناک سدیم با اپیوئیدها در کنترل درد بعد از جراحی سزارین. در: دهمین کنگره آسیایی و اقیانوسیه بیهوشی ناحیه ای, 15- 17 می 2009, جین .

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Title

COMPARISON THE EFFECTS OF INDOMETHACIN, ACETAMINOPHEN AND DICLOPENAC AS SUPPOSITORY WITH OPIOIDS ON POSTOPERATIVE PAIN CONTROL AFTER CESARIAN SECTION IN ARDABIL HOSPITAL

English Abstract

OBJECTIVES: Currently, the rate of cesarean section on the west societies is about 14% -15% and in Iran this rate is higher than universal statistics. Acute post operative pain is one of the postoperative complications, and mothers experience it in different levels. It may cause failure of breast feeding. Also it has effect on psychoemotional relation between newborn and mother. This study was planned to compare the effects of suppositories Indomethacin, Diclofenac and Acetaminophen in opioid usage after cesarean section in hospital of Ardabil city. Design and Method: In a double blind RCT, 120 ASA l-ll candidates for cesarean with spinal anesthesia were randomly divided into 4 groups. Acetaminophen was used in first, Indomethacin in second and Diclofenac in third group. Dosage was repeated every 6 hours and opioid usage was compared for first 24 hours. Fourth groups as control group that received PRN opioid. The severity of pain was recorded every 12 hours with VAS and for severe pain, 50 mg intramuscular Mepridine used. The data were analyzed in SPSS software and analytical statistics such as ANOVA, Chi- square and post HOC. Results: The findings indicate that there is a significant statistical difference between Indomethacin and Acetaminophen suppositories in Meperidine usage in 24 hours (P<0/05).Also there is a significant difference between Diclofenac and Acetaminophen (P<0/05). Conclusion: Cosidering the significant difference in opioid usage and analgesia in Indomethacin and Diclofenac group, using these drugs is suggested for post cesarean analgesia.

Item Type:Conference or Workshop Item (Poster)
زبان سند : انگلیسی
نویسنده مسئول :قدرت اخوان اکبری
کلیدواژه ها (انگلیسی): - Indomethacin - Diclofenac - Acetaminophen - Cesarean section postoperatve pain
Subjects:QV pharmacology
WO Surgery
Divisions:Faculty of Medicine > Department of Anesthesiology , Obstetrics & Gynecology
ID Code:2396
Deposited By: ِDr Pouran Akhavan akbari
Deposited On:11 Mar 1390 09:17
Last Modified:10 Jan 1393 09:51

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