title

مقایسه اثر درمانی ترامادل و مپریدین در درمان لرز بعد از بی حسی نخاعی درزایمانهای سزارین انتخابی

منوچهریان, ناهید and محمدیان اردی, علی and صانعی, محمد صادق and فریدی تازه کند, نسرین and صنعت کار, مهدی (1394) مقایسه اثر درمانی ترامادل و مپریدین در درمان لرز بعد از بی حسی نخاعی درزایمانهای سزارین انتخابی. Archives of Anesthesiology and Critical Care ــ 1 (2). pp. 50-54. شاپا 5849-2423

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Title

A comparison of the therapeutic effect of tramadol and meperidene for treatment of shivering after spinal anesthesia in elective caesarean section

English Abstract

warming blankets, and inhalation of humidified heated oxygen. However, pharmacological control is an effective alternative treatment modality. This study was designed to compare the efficacy of tramadol versus meperidine in the treatment of shivering after spinal anesthesia. In a double-blind randomized clinical trial, we studied 70 obstetric patients with ASA class I or II who had shivering following spinal anesthesia (SA) with 0.5% bupivacaine. All patients were randomly allocated to one of the two groups receiving tramadol 0.5 mg/kg (group T, n = 35), or meperidine 0.5 mg/kg (group M, n = 35). The onset of cessation of shivering, the efficacy of agents for treatment of shivering, hemodynamic variables, sedation score, pruritus, nausea and vomiting were assessed. Shivering ceased after 2.57±2.26 and 6.24±4.76 minutes in group T and group M respectively (p=0. 03). The differences before and after injection of meperidine for the heart rate, respiratory rate and arterial oxygen saturation were significant (p<0.001). Nausea and vomiting occurred significantly more frequently in the meperidine group compared to the tramadol group (p<0.001). Tramadol is a more effective agent than meperidine in the treatment of post spinal shivering, with lower early side effects in obstetric patients. spinal anesthesia; tramadol; meperidine; shivering

Item Type:Article
زبان سند : انگلیسی
نویسنده اول :ناهید منوچهریان
نویسنده :علی محمدیان اردی
نویسنده :محمد صادق صانعی
نویسنده :نسرین فریدی تازه کند
نویسنده مسئول :مهدی صنعت کار
Additional Information:Indexed in: Google Scholar, Magiran, Open Academic Journals Index OAJI,
کلیدواژه ها (انگلیسی):spinal anesthesia; tramadol; meperidine; shivering
Subjects:QV pharmacology > QV 754 Clinical Pharmacy
QV pharmacology
WO Surgery
WP Gynecology
WQ Obstetrics
Divisions:Faculty of Medicine > Department of Anesthesiology , Obstetrics & Gynecology
ID Code:7720
Deposited By: Dr Ali Mohammadian
Deposited On:14 May 1395 05:02
Last Modified:14 May 1395 05:02

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  • مقایسه اثر درمانی ترامادل و مپریدین در درمان لرز بعد از بی حسی نخاعی درزایمانهای سزارین انتخابی. (deposited 14 May 1395 05:02) [Currently Displayed]

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