Comparison of the Analgesic Efficacy of IM Tramadol with IM Piroxicamin Post-Operative Lower Segment C Section
Shazia Jang Sher, Aesha Sadaf Rizwan, Qurat-Ul-Ain, Sadia Nazir, Romasa Muzaffar Ali Joyo, Maida Manzoor
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ABSTRACT
Aim: To
compare the analgesic efficacy of IM tramadol with IM piroxicam in
postoperatively cesarean section.
Study design: Randomized controlled trial
Place and duration of study: Bakhtawer Amin Memorial Hospital, Multan from 1st September
2019 to 29th February 2020
Methods: Two hundred and ten patients with lower segment cesarean
section were enrolled in this study. Patients were divided into two equal
groups. Group A consist of 105 patients and received IM piroxicam and group B with
105 patients received IM tramadol. Pain scores were analyzed byusing visual
analogue scale at 0, 4,8,12 and 24 hours postoperatively.
Results: Mean age in both groupspiroxicam and tramadol were 27.24+/3.25 and
26.98±3.70 years. No significant difference was observed regarding
postoperative pain by VAS between both groups at postoperatively 4,8,12 and at
24 hours. Significant reduction was observed at 0,4,8,12 and 24 hours. No
significant difference was observed regarding side effects such as sedation, nausea,
vomiting and fever between both groups. Patient’s satisfaction rate was higher
in piroxicam as compared to tramadol.
Conclusion: IM piroxicam is more effective than IM tramadol regarding postoperative
pain in cesarean section, however no significant difference was observed
regarding side effects of both groups.
Keywords: Cesarean
section, Postoperative pain, Piroxicam, Tramadol.