Preemptif analjezi uygulamasının gömülü üçüncü molar diş cerrahisi sonrası oluşan postoperatif ağrı üzerine etkili midir?

Öz

Amaç: Bu çalışmada, preemptif analjezinin gömülü üçüncü molar cerrahisine bağlı postoperatif ağrı şiddeti, ağrı başlangıç ​​süresi, analjezik ihtiyacı, ödem ve trismus üzerine etkilerinin retrospektif olarak araştırılması amaçlandı. Gereç ve Yöntemler: Genel anestezi altında 3. molar cerrahisi yapılan ASA I-II grubuna, ameliyattan 20 dakika önce ve ameliyat bitiminden 20 dakika sonra intravenöz 0,3 mg/kg tenoksikam verildi ve operasyon 0,3 mg/kg genel anestezi altında tamamlandı. aynı standart. Ameliyat öncesinde tenoksikam verilen hastalar preemptif gruba (Grup 1), postoperatif tenoksikam uygulanan hastalar ise postoperatif gruba (Grup 2) ayrıldı. Tenoksikam uygulanan hastaların veri kayıtları incelendi. Bulgular: Preemptif gruptaki VAS değerlerinin ameliyat sonrası 1., 3. ve 6. saatlerde grup 2'ye göre anlamlı derecede düşük olduğu görüldü (p<0,05). Grup 2'de 36 (%76,6) hastanın, grup 1'de ise 13 (%31,0) hastanın ameliyat sonrası ek analjeziye ihtiyaç duyduğu belirlendi. Grup 2'de 28 (%59,6) hastada, grup 1'de ise 6 (%14,2) hastada trismus görüldü. Preemptif grupta sağlanan analjezi süresinin postoperatif gruba göre anlamlı olarak daha uzun olduğu görüldü (p<0,05). Sonuç: Genel anestezi altında gömülü üçüncü molar cerrahisi uygulanan hastalarda multimodal analjezinin bir parçası olarak preoperatif analjezik uygulamasının postoperatif ağrı tedavisinde başarılı ve güvenilir sonuçlar sunduğuna inanıyoruz.

Anahtar Kelimeler

• Üçüncü molar cerrahisi
• postoperatif ağrı
• preemtif anestezi

Is Preemptive Analgesia Effective on Postoperative Complications Occurring After Impacted Third Molar Surgery under General Anaesthesia?

Abstract

Objective: In this study, it was aimed to retrospectively investigate the effects of preemptive analgesia on postoperative pain severity, pain onset time, analgesic need, edema and trismus caused by impacted third molar surgery. Material and Methods: ASA I-II group who underwent third molar surgery under general anesthesia was given intravenous 0.3 mg/kg tenoxicam 20 minutes before the surgery and 20 minutes after the end of the surgery were completed under general anesthesia 0.3 mg/kg under the same standard. Patients who were given tenoxicam before the surgery obtained were divided into preemptive group (Group 1) and patients who were applied postoperative tenoxicam were divided into postoperative group (Group 2). The data records of the patients who were applied tenoxicam were examined. Results: It was observed that the VAS values in the preemptive group were significantly lower than the values in the group 2 at the postoperative 1st, 3rd and 6th hours (p <0.05). It was found that 36 patients (76.6%) in the group 2 and 13 patients (31.0%) in the group 1 needed additional postoperative analgesia. Trismus was observed in 28 patients (59.6%) in the group 2 and 6 patients (14.2%) in the group 1. Analgesia time provided in the preemptive group was found to be significantly longer than the postoperative group (p <0.05). Conclusion: We believe that preoperative analgesic application as part of multimodal analgesia in patients undergoing impacted third molar surgery under general anesthesia offers successful and reliable results in postoperative pain management.

Keywords

• third molar surgery
• preemtive analgesia
• postoperative pain

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