Effect of different analgesics on pain relief during extracorporeal shock wave lithotripsy.
Hippokratia
; 18(2): 107-9, 2014 Apr.
Article
em En
| MEDLINE
| ID: mdl-25336870
ABSTRACT
BACKGROUND/AIM:
The aim of this study was to compare three drugs for pain relief during shock wave lithotripsy (SWL). MATERIALS ANDMETHODS:
Seventy six male patients that were treated for renal stones with SWL were included in this study. They were randomized into four groups. A different treatment protocol was used for each group. Intramuscular (IM) diclofenac 75mg was given in group 1 (n=20), dexketoprofen, 50mg, IM in group 2 (n=20) and hyoscine 10 mg plus paracetamol 500mg, orally in group 3 (n=20). In group 4 (control, n=16) saline solution was given 30 min before SWL. Pain during SWL was assessed using the 10-score linear visual analogue pain scale (VAS) and was compared among groups. Age, weight, height, body mass index (BMI), stone size, stone location, duration of SWL, total shock waves performed and mean energy level (kV) for each patient were recorded. A p value of <0.05 was considered statistically significant.RESULTS:
The mean patients' age was 45.4 ± 12.9 years. The highest VAS value was observed in Group 4 (8.4 ± 1), and the lowest in Group 1 (6.25 ± 2.2). Statistically significant difference was noted only when Group 1 and Group 4 were compared. The remaining groups provided similar results and there were no significant statistical differences according to VAS values. Other parameters were similar in all groups.CONCLUSION:
In conclusion, this study shows that reducing the pain with a single dose injection of intramuscular diclofenac sodium before SWL is superior compared to others.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Tipo de estudo:
Clinical_trials
/
Guideline
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article