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Pain control using pethidine in combination with diazepam compared to diclofenac in combination with hyoscine n butyl bromide in patients undergoing extracorporeal shock wave lithotripsy    
Yazarlar (5)
Aslan Demir
Kafkas Üniversitesi, Türkiye
Kürşat Çeçen
Mert Ali Karadağ
Kafkas Üniversitesi, Türkiye
Dr. Öğr. Üyesi Mehmet USLU Dr. Öğr. Üyesi Mehmet USLU
Kafkas Üniversitesi, Türkiye
Ömer Erkam Arslan
Devamını Göster
Özet
Extracorporeal Shock Wave Lithotripsy (ESWL) remains the preferred least invasive treatment for urinary tract stones. The main purpose of this study was to compare two treatment modalities for pain control during the ESWL procedure. From 2013 to 2014, 220 patients received ESWL for kidney stones. Before the procedure, the weight and height were measured to determine the body mass index (BMI); in addition, oxygen saturation and the pulse of the patients, as well as pain level were determined. The pain control provided included two different methods: diclofenac sodium plus hyoscine-N-butyl bromide in the first group and pethidine plus diazepam in the second group. The pain level of the patients was determined using two different scales: the Wong-Baker and the Visual Analogue scales (VAS). At the end of three sessions, all patients were evaluated for the stone fragmentation rate by plain abdominal X-ray, and the findings were recorded and analyzed. A total of 220 patients were enrolled in this study. There were 91 patients in the first group (diclofenac sodium + hyoscine-N-butyl bromide) (male/female: 63/28) and 129 (male/female: 83/46) patients in the second group (pethidine HCL +diazepam). The mean age with SD according to each group was 42.03 (±16.43) and 42.56 (±14.23), respectively (p = 0.8). With regard to pain scores (using the Wong-Baker and VAS scales), the responses were significantly lower in the second group (p <0.001). Pethidine in combination with diazepam was superior to diclofenac and Hyoscine-N-butyl bromide for pain in patients undergoing ESWL.
Anahtar Kelimeler
extracorporeal shock wave lithotripsy | sedation | analgesia
Makale Türü Özgün Makale
Makale Alt Türü Diğer hakemli uluslarası dergilerde yayımlanan tam makale
Dergi Adı Central European Journal of Urology
Dergi ISSN 2080-4873 Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler PUBMED
Makale Dili İngilizce
Basım Tarihi 05-2015
Cilt No 68
Sayı 2
Sayfalar 201 / 206
Doi Numarası 10.5173/ceju.2015.479
Makale Linki http://www.termedia.pl/Pain-control-using-pethidine-in-combination-with-diazepam-compared-to-diclofenac-in-combination-with-hyoscine-n-butyl-bromide-in-patients-undergoing-extracorporeal-shock-wave-lithotripsy,57,25369,1,1.html