Study of Effect of intravenous injection of pethidine plus piroxicam or lidocaine gel topical in reducing pain during the ESWL and comparison with intravenous injection of pethidine alone

An external organ crusher noninvasive method to break stones using the administrative apparatus Shock waves are acoustic waves, but these effects cause temporary pain and discomfort in the deep waves of entry is visceral. Housing that require administration over the action necessary to make this study on 159 patients to the hospital for surgery ESWL Ayatollah Kashani was referred 53 patients to three-person groups were assigned randomly: the first group, intravenous pethidine mg 25 alone, the second group, intravenous pethidine mg 25 plus topical piroxicam gel, and the third group mg 25 gel lidocaine with intravenous pethidine Flank position in the area for half an hour before surgery patients were used. During the operation each patient had unbearable pain again mg 25 pethidine was injected intravenously. Postoperative Pain Questionnaire based MC Gill was measured. Results showed that all three groups with different age and sex were not significant and significant difference in pain scores in three groups of patients there was a (P< 0.01) measure of average pain in the first group (pethidine) 6.2 ± 6.9 and the second group (pethidine piroxicam gel) 2.7 ± 2.3 and the third group (pethidine lidocaine gel) 3.1 ± 3.9 was. Mean difference in pain pethidine group and the other groups was significant. (P< 0.05) Average amount of drug use in the first group pethidine (pethidine alone) 24 ± 16 mg, the second group (pethidine+ piroxicam gel) 5 ± 9 mg and the third group (pethidine +lidocaine gel) 10 ± 13 mg. Average differences in drug taking pethidine with two other groups had significant differences (P< 0.05) .This study showed that piroxicam gel or lidocaine reduces pain in patients after ESWL, and the need for drug consumption reduces.

shahrekord university of medical sceinces