تاثیر ژل دیکلوفناک بر شدت درد ناشی از رگ گیری با آنژیوکت: کارآزمایی بالینی

  Background & Aims: Injections in general and especially the insertion of angiocatheters are often associated with pain and anxiety in most patients. Consequently finding methods to decrease the pain caused by vein puncture is required. Accordingly the present study was planned to evaluate the effect of applying Diclofenac gel on pain intensity related to vein puncture in patients undergoing cesarean section.   Material & Methods: A randomized, placebo-controlled clinical trial was conducted on 60 women undergoing cesarean section referred to Imam Ali Hospital in Amol city from May to June 2010. The patients were selected continuously and randomly assigned to either experimental or placebo (Vaseline) groups. Data was collected by Visual Analogue Scale (VAS) and a checklist and analyzed by Mann-Witney U test and Chi-Square test using SPSS-PC (v.16).   Results: The intensity of pain associated with vein puncture with Diclofenac gel was significantly lower than that of Vaseline cream (P<0.001). In addition, no short-term side effects were detected with the Gel.   Conclusion: Compared to Vaseline cream, application of Diclofenac gel significantly decreased the pain associated with vein catheter insertion. Accordingly application of Diclofenac gel is recommended an hour before intravenous cannulation in patients undergoing caesarian section.