Abstract
Hysterosalpingography (HSG) is a contrast investigation of the female reproductive tract. A major drawback to its use is pain during and after the procedure. This study was designed to evaluate the
usefulness of Tramadol in alleviating the pain of the procedure and to assess the influence of tubal pathology on the degree of pain experienced. We studied 84 women; the patients were assigned randomly into two groups, group A and B. The first group, Group A (n=40) had premedication with intravenous Tramadol (100mg) and IV hyoscine N butylbromide (20 mg), The Group B (n=44) had premedication with IV hyoscine N butylbromide (20mg) only. The mean numeric rating pain score was 6.25 for the Tramadol group and 6.26 for the control group, P>0.05. This study does not show a significant decrease in pain perception during HSG in African women premedicated with Tramadol.
Keywords: Hysterosalpingography, tramadol usage, pain in hysterosalpingography
Résumé
L’hysterosalpingographie (HSG) est une technique d’investigation opposée au fonctionnement du système reproductif femelle. L’obstacle majeur de son utilité est la douleur durant et après la procédure. Cette étude était pour évaluer l’utilité du tramadol pour atténuer la douleur pendant la procédure et évaluer l’effet de la pathologie tubale sur le degré de la douleur expérimentée. Quatre vingt quatre femmes étaient choisies au harzard et divisées en deux groupes A et B. Le groupe A (n=40) avait reçu une prémédication du tramadol intraveineuse (100mg) plus de l’hyoscine IV (20mg). Le groupe B (n=44) avait eu une prémédication intraveineuse de l’hyoscine N-butylbromide seulement. Le taux moyen de la douleur état de 6.25 pour ceux ayant reçu le tramadol et 6.26 pour le contrôle sain (P>0.05). Cette étude ne montrait pas de réduction significative de la perception de la douleur pendant l’HSG chez les femmes Africaine ayant une prémédication au tramadol.
Correspondence: Dr. T. O. Bello, Department of Radiology, Ladoke Akintola University of Technology, College of Health Sciences, PMB 4400, Osogbo, Nigeria. Email: bellotope@hotmail.com.
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