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Polo, D., Caballero, P. (2024). Comparación de eficacia analgésica entre dos esquemas terapéuticos metamizol-tramadol vs metamizol- dexketoprofeno, aplicado en el manejo de dolor post colelap en pacientes de dos hospitales de tercer nivel de cusco, en el periodo de enero y febrero del 2024 [Universidad Andina del Cusco]. https://hdl.handle.net/20.500.12557/6208
Polo, D., Caballero, P. Comparación de eficacia analgésica entre dos esquemas terapéuticos metamizol-tramadol vs metamizol- dexketoprofeno, aplicado en el manejo de dolor post colelap en pacientes de dos hospitales de tercer nivel de cusco, en el periodo de enero y febrero del 2024 []. PE: Universidad Andina del Cusco; 2024. https://hdl.handle.net/20.500.12557/6208
@misc{renati/23756,
title = "Comparación de eficacia analgésica entre dos esquemas terapéuticos metamizol-tramadol vs metamizol- dexketoprofeno, aplicado en el manejo de dolor post colelap en pacientes de dos hospitales de tercer nivel de cusco, en el periodo de enero y febrero del 2024",
author = "Caballero Garcia, Prixania Stephanie",
publisher = "Universidad Andina del Cusco",
year = "2024"
}
Introduction: Laparoscopic cholecystectomy is the procedure of choice for the management of gallbladder pathologies in our environment, although it offers extensive benefits, postoperative pain is still one of the main complications present. In our environment there is no standardized therapy for the adequate management of this, which is why a comparison is made between the most used analgesic schemes in our environment. Objective: To determine the therapeutic group with the greatest analgesic effectiveness for acute pain after laparoscopic cholecystectomy between the combinations of metamizole – tramadol and dexketoprofen – metamizole. Materials and methods: The study is comparative, prospective and quantitative in approach. Data collection was through a survey applied to the patients undergoing the study. Which was developed in January and February of 2024. Collecting the results between both therapeutic schemes, determining which scheme is more effective. For statistical analyses, multivariate analyzes will be carried out from quantitative variables (analgesic efficacy of both therapeutic schemes) and qualitative variables (use of emergency analgesia). Results: 80 surveys were collected, of which 50% (n=40) were administered Metamizole – Dexketoprofen and 50% (n=40) were administered the Metamizole – Tramadol regimen, the average age of the participants is 38.5 years. With an interquartile range between 33.0 and 47.0 years, also in relation to the sex of the participants, 85.0% are female and 15.0% are male, which shows a female predominance in the study. Pain levels, measured on a numerical scale, have a median of 4.0 with an interquartile range of 3.0 to 5.0. This suggests that the pain reported by most participants is moderate. The probability of having a pain score greater than or equal to 5 in patients who received metamizole – tramadol was lower compared to patients who received metamizole – dexketoprofen. Conclusions: Analgesic treatment with Metamizole – Tramadol seems to be associated with a lower probability of experiencing moderate to severe postoperative pain after its administration compared to treatment with Metamizole – Dexketoprofen, and this difference is statistically significant according to the p value < 0.05. Regarding the use of rescue analgesia, 80.0% did not need it, while 20.0% did, with the Metamizole – Tramadol scheme presenting less need for rescue analgesia.
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