Tiroidektomi operasyonu sonrasi aǧri tedavisinde preoperatif lornoksikam ve diklofenak uygulamasinin postoperatif tramadol gereksinimi üzerine etkinliǧi

Aim: The aim of this randomized, double-blinded study is to evaluate the effectiveness of preoperative lornoxicam 8 mg with diclofenac 75 mg in postoperative pain management. Material and Method: 75 ASA I-II patients undergoing thyroidectomy operations were randomly allocated to 3 groups. Preoperative lornoxicam 8 mg, diclofenae 75 mg and % 0.9 NaCl 3 ml were given to Group L, D and P respectively, Headache, neck and shoulder pain, patient satisfaction scores, respiratory frequency and recovery quality at rest, during neck movement and coughing were evaluated according to Visual Analog Scale (VAS0-100 mm). Intramuscular tramadol 100 mg was given when VAS score in one of these parameters was ≥ 4. The time of first analgesic requirement, maximum pain score, the time of maximum pain score, total tramadol requirement during postoperative 24 hours were recorded. One-way analysis of variance, chi square test and Mann-Whitney U test were used for statistical analysis. Results: Demographic data was similar in all groups. Neck pain, scores at rest, during movement and coughing was found to be higher in placebo group at first 2 hours. Patient satisfaction score was lower in placebo group during postoperative 4 hours. The time of first analgesic requirement and maximum pain score was shorter in Group P. Total amount of tramadol requirement during postoperative 24 hours and maximum pain score at rest was higher in Group P.