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European Journal of Dentistry and Medicine

机译:欧洲牙医学杂志

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The aim of this study is to evaluate and quantify the pain relief after minor surgery when certain analgesics are used before surgery. Double blind study was conducted on 300 outpatient surgery patients who were allocated into two groups. Before surgery, 100 mg of acetaminophen was given to one group and 75 mg of diclofenac to the other one. The pain level after surgery was measured and recorded in both groups by a ruler 10 cm using the Visual Analog Scale (VAS) method at intervals of 30 min, 1, 2 and 4 h after surgery. Also for the patients with VAS more than 7, it was recommended to administer IM 50-100 mg teramadole ampoule. Mean VAS in acetaminophen group was 5.28±1.17, 5.17 ±1.04, 4.47±1.05±, 3.97±1.09 while, in diclofenac group was 5.09±1.10, 5.10±1.024.27±1.05 and 3/73±1.07 at 0.5, 1, 2 and 4 h after surgery, respectively. In fact there was no significant difference in pain level after surgery between acetaminophen and diclofenac groups (p>0.05). Moreover, there was no significant difference in the effectiveness of pain relief induced by administering tramadol calmative ampoule along with acetaminophen and diclofenac groups (p>0.05). Acetaminophen results in as effective pain relief as diclofenac with or without tramadol calmative. Due to minimal side effects of acetaminophen when compared to other analgesics, like diclofenac, it is recommended to use acetaminophen for safe and efficient pain relief after outpatients surgeries.
机译:本研究的目的是评估和量化在手术前使用某些止痛药后的小型手术后的疼痛缓解情况。对300名被分为两组的门诊手术患者进行了双盲研究。手术前,一组给予100 mg对乙酰氨基酚,另一组给予75 mg双氯芬酸。在手术后30分钟,1、2和4小时的间隔内,使用Visual Analog Scale(VAS)方法,用10 cm的尺子测量并记录两组术后的疼痛水平。同样,对于VAS大于7的患者,建议使用IM 50-100 mg的teramadole安瓿。对乙酰氨基酚组的平均VAS为5.28±1.17、5.17±1.04、4.47±1.05±,3.97±1.09,而双氯芬酸组的平均VAS为0.5、1、5.10±1.024.27±1.05和3/73±1.07。分别在手术后2小时和4小时。实际上,对乙酰氨基酚和双氯芬酸组的术后疼痛水平无显着差异(p> 0.05)。此外,曲马多镇静安瓿与对乙酰氨基酚和双氯芬酸组合用时,镇痛效果没有显着差异(p> 0.05)。对乙酰氨基酚可与双氯芬酸(无论是否使用曲马多镇定剂)一样有效地缓解疼痛。与其他止痛药(如双氯芬酸)相比,由于对乙酰氨基酚的副作用极小,因此建议在门诊手术后使用对乙酰氨基酚以安全有效地缓解疼痛。

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