بررسی اثرتزریق پاراستامول وریدی در انتهای عمل جراحی بر میزان درد پس از عمل سزارین

Subject Areas : علوم پزشکی

Hamed Beyzaee ¹ ( )
Maria Alian ² ( )
Parisa Najafi ³ ( )
Ziba Zohourian ⁴ ( )

Received: 2017-06-06 Accepted : 2017-06-06 Published : 2013-05-22

Keywords: pain, paracetamol- caesarian – section,

Abstract :

Background and aims: postoperative analgesia is one of the most concerns of anesthesiologist and patients. Systemic opioids administration is the gold standard in reducing the severe pain after surgery but some side effects prevent the use of adequate doses of opioids. The aim of this study was evaluation the effect of intravenous paracetamol at the end of caesarian section procedure on postoperative pain. Methods: in this case-control clinical trial, 60 women condidate for caesarian section (ASA I-II) were enrolled. They randomely allocated in two groups for postoperative pain (n=30), one group received 1 gr paracetamol attenuated in normal saline, infused per 20 minutes at the end 20 minutes of surgery and 6 hours later and control group. Recieved nothing. Pain severity was evaluated exactly then, 1,3,6 hours after surgery, by visual analog scale. Results: mean age and weight of mothers was 26.7±5.2 years and 73.2±8 kg respectively. 55% of mothers were nuliparity and others were multipar. There was no differences between two groups considering age, weight, pariety, paracetamol caused no significant effect on blood pressure (systolic and diastolic)and heart rate. Also although there was a significant trend in pain severity in both groups, there was no significant difference between two groups (p>0.05). Conclusion: As there was no significant effect on sever postoperative pain using intervenous paracetamol , future studies on th effect of that on mild to intermediate pain is suggested.  

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