مقایسه ی بی دردی پس از عمل در بیماران شکستگی کاندید عمل جراحی پلاک گذاری با مورفین – آپوتل و کتورولاک به تنهایی به روش بی دردی وریدی کنترل شده توسط بیمار

Aim: This study was performed to compare the analgesic effects between Morphine-Apotel and Ketorolac alone with Intravenous patient control analgesia in patients with lower extremities fracture candidate for plating surgery. Method : This double-blind clinical trial, was carried out on 110 Patients ,aged 18 to 50, with lower extremities fracture who were candidate for plating surgery in emamreza hospital in 1394. Patients were randomly divided to Morphine-Apotel ( A) or “Ketorolac” (B) Group Percutaneous control intravenous anesthesia was administered for patients after 15 minutes entry in the recovery .A Questionnaire containing demographic informations , drug groups and degree of pain measured with “Visual Analogue Scale” 0 ,6 and 12 hours after surgery, were recorded for all patients. Results: 73.6% 0f patients were men whereas 26.4%were female. The most common site for fracture was the femoral bone. (16.4%) Mean age in candidates were 38.8±15.48. According to our findings the degree of pain significantly decreased from the first hour to 12 hours after surgery, in both groups.( Pvalue<0.05) Comparing pain levels at different times after surgery, 0 and 6 hours,6 and 12 hours and also 0 and 12 hours ,showed significant differences in both groups.