An observational study to evaluate the effects of intravenous diclofenac in comparison to tramadol on early postoperative pain relief in patients following spinal anaesthesia
Keywords:
Pain, Tramadol, Diclofenac, Spinal anaesthesia, VAS score, AnalgesiaAbstract
Background: Pain in early post-operative period is the most common complaint after elective surgeries under spinal anaesthesia and important impediment of recovery time. Postoperative pain management is a vital factor contributing towards speedy recovery of the patient. The present study was undertaken to compare the efficacy of injection tramadol verses injection diclofenac on early postoperative pain relief in patients who underwent surgery under spinal anaesthesia.
Methods: Total 200 patients of either sex, aged between 18 to 65 years, ASA grade I or II were enrolled and divided into two groups of 100 patients each, receiving either inj. Diclofenac (group D) or inj. Tramadol (Group T). Pain assessment was done using VAS score up to 8 hours.
Results: Mean VAS score in group T was significantly lower as compared to group D throughout up to 8hrs. In group D mean onset of analgesia was less (27.7±3.5) as compared to group T (39.2±3.3) which was statistically significant, (P<0.01). Mean duration of analgesia in group D was less (442.0±54.0) as compared to group T (467.4±7.3), (P<0.05). In group D, 31% patients required rescue analgesia as compared to 8% in group T, (P<0.05). In group T more number of patients (13%) suffered from adverse effects as compared to group D (7%) but difference was insignificant (p>0.05).
Conclusion: Intravenous infusion of injection tramadol is having more pronounced analgesic effect as compared to intravenous infusion of injection diclofenac. However, further study is required in the post-operative period upto 48 hours to observe the incidence of side effects in both the groups.
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