IMR Press / EJGO / Volume 27 / Issue 1 / pii/2006118

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Original Research

Comparison of lornoxicam with tramadol in patient­controlled analgesia after gynecological surgery

Show Less
1 Department of Obstetrics and Gynecology, Faculty of Medicine, University of Gaziantep, Gaziantep, Turkey
2 Department of Anesthesiolgy, Jzzet Baysal Medical Faculty, Abant lzzet Baysal University, Bolu, Turkey
3 Department of Obstetrics and Gynecology, Faculty of Medicine, University of Gaziantep, Gaziantep, Turkey
Eur. J. Gynaecol. Oncol. 2006, 27(1), 78–80;
Published: 10 February 2006
Abstract

Background: The aim of this study was to compare the effects of lornoxicam and tramadol in patient-controlled analgesia (PCA) after gynecologlcal surgery. Methods: Forty-four patients were randomly allocated to one of two groups after elective gynecological surgery. Patients in group I (n = 22) received IV tramadol, and group II patients (n = 2) received IV lornoxicam with a PCA pump. A visual analogue scale (VAS) (0 = no pain, 10 = worst pain), hemodynamic parameters and side-effects were assessed before starting the infusion (base­line), at the 15th and 30th min, 1st, 2nd,3rd, 4th, 6th, 8th, 12th, 18th, 24th, 36th and 48th hour thereafter, and results were compared. Results: Adequate analgesia was achieved in both groups. VAS values in the tramadol group were lower than those of lornoxia­cam at the 15th and 30th minute, 1st, 2nd, 4th, 6th, 8th and 12th hour measurements (p < 0.05). Eight patients (36.3%) in group I and six patients (27.2%) in group II suffered from nausea (p > 0.05). Conclusions: Tramadol and lornoxicam may be used for pain control after gynecological surgery via PCA. However, we conclude that tramadol has better analgesic efficacy than lornoxicam during the first 12 hours postoperatively.

Keywords
Postoperative analgesia
Patient-controlled analgesia
Tramadol
Lornoxicam
Share
Back to top