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2020, Number 4

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Medicentro 2020; 24 (4)

Usefulness of betamethasone in the prevention of postoperative pain in lumbar disc herniation

Puga BCE, Cevallos SFA, Muñiz CIC

Language: Spanish
References: 19
Page: 721-734
PDF size: 467.20 Kb.


ABSTRACT

Introduction: use of corticosteroids is an effective strategy to reduce postoperative pain.
Objective: to determine usefulness of betamethasone in the prevention of postoperative pain in patients operated for lumbar disc herniation.
Methods: a quasi-experimental study was carried out in 100 patients operated for lumbar disc herniation at «Arnaldo Milián Castro» Clinico-Surgical University Hospital, in Villa Clara province from April 2013 to December 2015. They were divided into a control group and a study one; prior to surgical incision, intravenous diclofenac 75mg and betamethasone 8mg were administered (only in the study group).
Results: 70% of the patients were male, and the mean age was 45.99 years. In the study group, the time of onset of pain (X2 = 52,217, p < 0,000) and its intensity, at 4, 8 and 24 hours, was significantly lower than in the control group (pα <0.010, pα <0.001 and p < 0.001); 48% of the patients were able to get up without pain, 32 % less required rescue analgesia, and the degree of satisfaction was significantly better.
Conclusions: administration of betamethasone before surgical incision was very useful in the prevention of postoperative pain in patients operated for lumbar disc herniation.


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