Prospective Randomised Clinical Trial Study of Diclofenac Sodium 100mg Suppository and Trans Dermal Patch for the Duration of post Operative Analgesia in LSCS Patients Under Going Surgery under Lumbar Subarachnoid Block
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 5
Abstract
Background: Post operative analgesia in continuation of lumbar subarachnoid blockade can be effected by several means. But use of non steroid anti inflammatory drugs in various forms is advantageous to the parturient and baby in terms of lack of post operative respiratory depression in mother and baby, It prevents hypoglycemia in the baby, efficient post natal care of the baby by the mother and prevents deep venous thrombosis in the mother by early mobilization of the mother. Materials and Methods: We have investigated a total of 150 patients, with 50 patients in each group constituting three groups: Suppository Group (Group I), Patch Group (Group II) and Control Group (Group III). Duration of post operative analgesia provided by each group and their side effects were studied. Results: Group I (Suppository Group) was most efficient in post operative analgesia of duration of 14.8 hours, with a standard deviation of 1.1. The Patch Group (Group II) showed a mean duration of 4.5 hours while the Control Group (Group III) showed a mean duration of 0.7 hours. The mean dose of the rescue analgesic was lowest for Group I and highest for Group III, showing qualitative analgesia provided by the diclofenac suppository. Mean VAS score was lower for the Group I patients, while it was highest for the Group III patients. Conclusion: Diclofenac suppository can be easily placed by the obstetrician or the paramedical staff post operatively. It was a cost effective and efficient technique compared to the diclofenac patch. We found from this study, which was analyzed via SPSS Version 10.
Authors and Affiliations
Dr Harikrishnan S
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