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- W2787261322 abstract "Introduction & Objective: ESWL is a non-invasive method ofbreaking stones, using acoustic shock waves. Shock wavescause temporary deep visceral pain and discomfort in entry;therefore, administration of sedatives is necessary. The purposeof this study was to compare the effect of topical lidocaine andpiroxicam gel with intravenous pethidine in reducing pain duringESWL.Materials & Methods: This clinical trial study was performed on159 patients who referred to Ayatollah Kashani Hospital inShahrkord for ESWL in 2009. Patients were randomly dividedinto three-groups. For the first group, intravenous pethidine (0.5mg/kg alone) was administered. The second group receivedtopical piroxicam, and the third group received topical lidocaine inthe area of flank for half an hour before ESWL. During theoperation, those patients who had unbearable pain, receivedanother 0.5 mg/kg of pethidine. Data was collected using MC Gillquestionnaires and analyzed using the SPSS software, usingparametric, nonparametric methods and Dunn's MultipleComparisons tests.Results: The mean of pain scores in the first group (pethidine)was 6.2 ± 6.9 while these scores were 3.2 ± 2 .7 and 3.9 ± 3.1 forthe second (piroxicam gel) and third group (lidocaine gel)respectively. The differences in the mean score of pain wassignificant in the pethidine group compared to the other groups(P <0.05). The average pethidin consumption were 24 ± 16 mgfor the first group (pethidine), 10 ± 13 mg for the second group(piroxicam gel), and 5 ± 9 mg for the third group (lidocaine gel).The mean difference was significant in pethidine treated group incomparison with other two groups (P < 0.05).Conclusion: The use of topical piroxicam or lidocaine reducespain in patients after ESWL It also reduces the need for sedativedrugs." @default.
- W2787261322 created "2018-02-23" @default.
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- W2787261322 date "2011-01-01" @default.
- W2787261322 modified "2023-09-27" @default.
- W2787261322 title "Comparison Efficacy ofTopical Piroxicam Gel andLidocaine with IntravenousPethidine in Reducing Painduring ESWL" @default.
- W2787261322 hasPublicationYear "2011" @default.
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