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Medicentro Electrónica
versión On-line ISSN 1029-3043
Resumen
PUGA BRAVO, Cristina Evelyn; CEVALLOS SACOTO, Francisco Antonio y MUNIZ CASAS, Isabel C. Usefulness of betamethasone in the prevention of postoperative pain in lumbar disc herniation. Medicentro Electrónica [online]. 2020, vol.24, n.4, pp. 721-734. Epub 01-Oct-2020. ISSN 1029-3043.
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 () and its intensity, at 4, 8 and 24 hours, was significantly lower than in the control group (pα <0.010, pα <0.001 and <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.
Palabras clave : betamethasone/therapeutic use; pain, postoperative/prevention & control; hernia/surgery; lumbar vertebrae.