Medicina, Vol. 46 No. 1, 2010.
Izvorni znanstveni članak
Pain therapy after lumbar discectomy
Saša Rapan
; Odjel za ortopediju, Klinički bolnički centar Osijek, Osijek, Hrvatska
Savo Jovanović
; Odjel za ortopediju, Klinički bolnički centar Osijek, Osijek, Hrvatska
Ivan Vidaković
; Odjel za ortopediju, Klinički bolnički centar Osijek, Osijek, Hrvatska
Radivoje Radić
; Katedra za anatomiju, Medicinski fakultet Sveučilišta Josipa Jurja Strossmayera u Osijeku, Osijek, Hrvatska
Sažetak
Aim: The aim is to determine possible advantage of application of Tramadolum, Diclofenacum and Dexamethasonum in therapy of postoperative pain after lumbar discectomy in relation to standard postoperative application of Tramadolum and Metamizolum Natricum.
Methods: The research covered 46 patients with mean age of 45.29 ± 14.06. All patients underwent open lumbar discectomy. The first group, consisting of 23 patients, was treated with Tramadolum and after the surgery , and the other one, also with 23 patients, was treated with Tramadolum, Dexamethasonum and Diclofenacum. The VAS questionnaire of postoperative pain consisted of two parts: the first one, filled in by a surgeon, included clinical findings, and the second one, filled in by a patient, contained data entered by the patient on postoperative pains and painful discomforts two and eight days after the surgery, with the scale from 0 to 10. Statistical 5.0 programme was used in statistical analysis. Statistical significance of differences was determined by Student’s independent samples T-test, while significance of differences between individual samples in respect of pain and time of filling in the questionnaire was determined by Student’s dependent samples T-test.
Results: The research results, not considering measurement of preoperative pain, show that the group treated with Tramadolum, Dexamethasonum and Diclofenacum experienced significantly lower pain in the leg area (p< 0.01), while pain in sacral area was somewhat lower but still with statistical significance (p = 0.03; p = 0.01) compared to the group receiving Tramadolum and Metamizolum Natricum.
Conclusion: The research results confirm efficiency and advantage of combined therapy with Tramadolum, Diclofenacum and Dexamethasonum in coping with postoperative pain after lumbar discectomy compared to the therapy with Tramadolum and Metamizolum Natricum.
Ključne riječi
discectomy; postoperative therapy; VAS scale
Hrčak ID:
48839
URI
Datum izdavanja:
1.3.2010.
Posjeta: 2.135 *