مقايسه تاثير تزريق پتيدين با شياف ايندومتاسين در تسكين درد پس از عمل جراحي فتق مغبني

Post-operative Analgesic Effect of Intramuscular Pethedine Compared with Indomethacin Supository in Unilateral Inguinal Hernioplasty Patients

Many patients suffer from pain following surgical procedures. Narcotic drugs are frequently used to relieve post-operative pain but recent data according to several studies suggest the control of the post-op pain with NSAID drugs. In this study, we compared analgesic effect of indomethacin suppository to intramuscular pethedine. 37 patients of unilateral inguinal hernioplasty 17 to 60 years old were divided into two group: the first group (17 patients) received one indomethacin suppository every 8 hours to relieve post-op pain and the second group (20 patients) received 0.5 mg/kg intramuscular pethedine every 8 hours; their pain was checked every 2 hours with visual analogue scale (VSA). Mean pain severity of pethedine group was 57.3±14.9 compared with indomethacin group (46.1±20.2) in the first 6 hours post-op period. In the second, third and fourth 6 hours, mean pain severities in indomethacin group were 28.7±16.1 vs. 22.6±14.1 and 21.5±15.2 vs. 12.7±14.9 and 9.5±7.8 vs. 7.3±6.3 respectively. There was no meaningful difference between the two groups in pain relief in our study. Finally, it was concluded that indomethacin suppository was a good substitute for intramuscular pethedine to control post-op pain.