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:: Volume 23, Issue 1 (Spring 2013) ::
MEDICAL SCIENCES 2013, 23(1): 41-45 Back to browse issues page
Comparison the analgesic effect of naproxen suppositories with intra wound injection of markain after inguinal hernia surgery
Mohammad Reza Abdoulhosseini1 , Mohammad Bagher Sohrabi 2, Pooneh Zolfaghari3 , Elahe Yahyaei4 , Zahra Eskandari5
1- Surgeon, General Surgery ward of Imam Hossein hospital, Shahroud University of Medical Science, Shahroud, Iran
2- Researcher, General Practitioner, Clinical Research Center of Imam Hossein Hospital, Shahroud University of Medical Science, Shahroud, Iran , mb.sohrabi@yahoo.com
3- Researcher, General Practitioner, Clinical Research Center of Imam Hossein Hospital, Shahroud University of Medical Science, Shahroud, Iran
4- Researcher, BS of Management, Clinical Research Center of Imam Hossein Hospital, Shahroud University of Medical Science, Shahroud, Iran
5- Researcher, BS of Nursing, Khatam-al-Anbia Hospital, Islamic Azad University, Shahroud Branch, Shahroud, Iran
Abstract:   (17812 Views)
Background: Anti-inflammatory drugs are used for reducing the pain after surgery especially in minor surgery and local anesthesia drugs, especially Markain, is also employed. Regarding performing little studies about the comparison of these two kinds of drugs, this study was done for comparison two methods.
Materials and methods: This double-blind randomized clinical trial study was done on 198 patients with inguinal hernia. Patients were divided into case group (intra wound Markain) and control group (the suppository of naproxen). Surgery was done with standard method (Liechtenstein) and the severity of pain was assessed by the visual analogue scale (VAS) in one, six and 24 hours after surgery. Data were analyzed by SPSS- ver16 software.
Results: Mean age in case group were 52.6±5.7 years and in control group were 53.7±4.9 years. Mean pain intensity in the first and 6th hours in case group were 6.3 and 4.6 and in control group were 3.9 and 2.9, respectively (P<0.001). The pain immediately and 24 hours after surgery were similar in both groups and there was no significant difference between the two groups. Need to opioid analgesics was further reduced in the naproxen group one and six hours after surgery.
Conclusion: Although both methods were effective in reducing postoperative pain and less expensive, but naproxen suppositories was more effective pain reliever for optimal pain control, especially in the first and six hours after surgery and is more effective in reducing pain intensity than Markain. Naproxen also reduces the need to deal with housing has been opioid analgesics.
Keywords: Inguinal hernia, Naproxen suppositories, Markain, Post operative pain
Full-Text [PDF 123 kb]   (2668 Downloads)    
Semi-pilot: Controlled/Randomized clinical trial | Subject: Surgery
Received: 2013/03/16 | Accepted: 2013/05/28 | Published: 2013/05/28
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Abdoulhosseini M R, Sohrabi M B, Zolfaghari P, Yahyaei E, Eskandari Z. Comparison the analgesic effect of naproxen suppositories with intra wound injection of markain after inguinal hernia surgery . MEDICAL SCIENCES 2013; 23 (1) :41-45
URL: http://tmuj.iautmu.ac.ir/article-1-651-en.html


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Volume 23, Issue 1 (Spring 2013) Back to browse issues page
فصلنامه علوم پزشکی دانشگاه آزاد اسلامی واحد پزشکی تهران Medical Science Journal of Islamic Azad Univesity - Tehran Medical Branch
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