Literature DB >> 20435293

Comparison of oral nonsteroidal analgesic and intrauterine local anesthetic for pain relief in uterine fractional curettage: a randomized, double-blind, placebo-controlled trial.

Olus Api1, Bahar Ergen, Murat Api, Vedat Ugurel, Muge Balcin Emeksiz, Orhan Unal.   

Abstract

OBJECTIVE: We sought to investigate the analgesic efficacy of oral dexketoprofen trometamol and intrauterine lidocaine in patients undergoing fractional curettage. STUDY
DESIGN: A randomized, double-blind, placebo-controlled trial was conducted on 111 women. Subjects were randomly assigned into 4 groups to receive either 25 mg of dexketoprofen or similar-appearing placebo tablets and either 5 mL intrauterine 2% lidocaine or saline. The main outcome measure was the intensity of pain measured by a 10-cm visual analog scale. Pain scoring was performed prior to, during, and 30 minutes after the procedure.
RESULTS: No statistically significant difference was found among the mean pain scores of women during the procedure in the dexketoprofen and saline, placebo and lidocaine, and dexketoprofen and lidocaine groups. The mean pain scores in all 3 groups revealed significant reduction when compared with placebo and saline combination (P = .001).
CONCLUSION: Administration of intrauterine lidocaine or oral dexketoprofen appears to be effective in relieving fractional curettage associated pain. However, a combination of them does not work better in further reduction of pain. Copyright (c) 2010 Mosby, Inc. All rights reserved.

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Year:  2010        PMID: 20435293     DOI: 10.1016/j.ajog.2010.02.029

Source DB:  PubMed          Journal:  Am J Obstet Gynecol        ISSN: 0002-9378            Impact factor:   8.661


  5 in total

1.  The effect of different local anesthesia methods on pain relief in outpatient endometrial biopsy: randomized clinical trial.

Authors:  Elaheh Olad-Saheb-Madarek; Morteza Ghojazaeh; Fahimeh Behjati; Hossein Alikhah
Journal:  J Caring Sci       Date:  2013-08-27

Review 2.  Intrauterine anesthesia for gynecologic procedures: a systematic review.

Authors:  Rebecca J Mercier; Matthew L Zerden
Journal:  Obstet Gynecol       Date:  2012-09       Impact factor: 7.661

3.  Effect of paracetamol, dexketoprofen trometamol, lidocaine spray, and paracervical block application for pain relief during suction termination of first-trimester pregnancy.

Authors:  Gökhan Açmaz; Hüseyin Aksoy; Nil Özoğlu; Ülkü Aksoy; Evrim Albayrak
Journal:  Biomed Res Int       Date:  2013-12-24       Impact factor: 3.411

4.  Pain relief during minor procedures: a challenge for gynaecologists.

Authors:  Pratima Mittal; Manu Goyal
Journal:  Indian J Med Res       Date:  2015-10       Impact factor: 2.375

5.  Effect of paracetamol, dexketoprofen trometamol, lidocaine spray, pethidine & diclofenac sodium application for pain relief during fractional curettage: A randomized controlled trial.

Authors:  Gökhan Acmaz; Evrim Bayraktar; Hüseyin Aksoy; Mürvet Başer; Mustafa Oğuz Yilmaz; İptisam İpek Müderris
Journal:  Indian J Med Res       Date:  2015-10       Impact factor: 2.375

  5 in total

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