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

Abstract:

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.

Año de publicación:

2020

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Fuente:

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