Ayesha Naeem, Amna Fareed, Drakhshan Nauman, Uzma Siddique.
Compare the Analgesic Efficacy of Oral Tramadol with Intravenous Analgesics on Postoperative Pain after Caesarean Section.
Pak J Med Health Sci Jan ;14(2):495-7.

Aim: To compare the analgesic efficacy of oral tramadol with intravenous analgesic postoperatively in patients with caesarean section. Study design: Randomized controlled trial Place and duration of study: Department of Obstetrics & Gynaecology, Allama Iqbal Memorial Teaching Hospital, Sialkot from 1stJune 2019 to 30 th November 2019. Methods: Two hundred and sixty patients with lower segment cesarean section were enrolled in this study. Patients were divided into two equal groups. Group I consisted of 130 patients and received oral tramadol and group II with 130 patients received Nalbuphine intravenously. Pain scores were compared using visual analogue scale at 4, 8 and 12 hours postoperatively. Patients with higher scores in group I were reverted to intravenous analgesia. Results: No significant difference was observed regarding age and BMI in both groups. No significant difference was observed regarding postoperative pain by VAS between both groups postoperatively at 4 hours, and at 12 hours with p-value >0.05, but at 8 hours, oral group had significantly high pain score as compared to intravenous group (p- value 0.024). 13 patients in group I (oral group) required rescue intravenous analgesia at 8 hours postoperatively while 3 patients in group II required rescue analgesia, so a significant difference was observed with p-value 0.02. Conclusion: Oral tramadol is safe and effective in reducing postoperative pain.

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