Mehmet Ziya YILMAZ, Bahriye Binnur SARIHASAN, Ebru KELSAKA, Nilay TAŞ, Aysun Çağlar TORUN, Ersin KÖKSAL, Enis KURUOĞLU

Comparison of the analgesic effects of paracetamol and tramadol in lumbar disc surgery

Background/aim: To compare the postoperative analgesic efficacy and side effects of paracetamol and tramadol in patients undergoing lumbar disc surgery. Materials and methods: Group P (paracetamol group) was given 1 g of paracetamol intravenously 30 min before the end of the operation and 1 g each day at 6-h intervals. Group T (tramadol group) was given 1.5 mg/kg of tramadol as a loading dose and patient-controlled analgesia for 1 day. Hemodynamic parameters, modified Aldrete score, Ramsay sedation scale score, patient satisfaction scale (PSS) score, visual analog scale (VAS) score, nausea/vomiting scale score, and additional analgesic needs/times were recorded. Results: PSS scores were significantly higher in Group T (P < 0.05). The total analgesic consumption was significantly higher in Group P. There were no significant differences in the VAS scores at any time points. Twenty-one patients in Group P and 8 patients in Group T needed additional analgesia (P < 0.05). The first additional analgesic time was earlier in Group P, and pain was more evident at the 15th minute and at hours 2 and 6 (P < 0.05). Conclusion: Paracetamol alone was not able to provide effective analgesia. Tramadol was more effective in the treatment of postoperative pain after lumbar disc surgery.

Anahtar Kelimeler:

Paracetamol, tramadol, postoperative analgesia

Comparison of the analgesic effects of paracetamol and tramadol in lumbar disc surgery

Keywords:

Paracetamol, tramadol, postoperative analgesia,

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