EFFECT OF MORPHINE ON SYMPTOMS AND SIGNS OF PATIENTS WITH ACUTE ABDOMEN IN PATIENTS IN SHARIATI HOSPITAL EMERGENCY WARD IN 2004 – 2005

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SOROUSH A.R.; KHOURGAMI ZH.; MAHMOUDZADEH HOSSEIN; HOSSEINI ARAGHI N.

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Journal: Iranian Journal of Surgery Year:2006 | Volume:14 | Issue:2 Page(s): 23-29

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Title

EFFECT OF MORPHINE ON SYMPTOMS AND SIGNS OF PATIENTS WITH ACUTE ABDOMEN IN PATIENTS IN SHARIATI HOSPITAL EMERGENCY WARD IN 2004 – 2005

Author(s)

SOROUSH A.R. | KHOURGAMI ZH. | MAHMOUDZADEH HOSSEIN | HOSSEINI ARAGHI N. | Issue Writer Certificate

Keywords

ANALGESICS

ACUTE ABDOMEN

PHYSICAL EXAMINATION

Abstract

Introduction & Objective: Most of the patients presenting with ACUTE ABDOMEN, complain of a sever abdominal pain meanwhile most of physicians abstain using ANALGESICS because they believe it causes delay in diagnosis and treatment by changing the patient’s signs and symptoms and results in more complications. Recent studies and researches have shown that this may not be correct. This study investigated the clinical results of using narcotic ANALGESICS in ACUTE ABDOMEN.Materials & Methods: This study was a randomized controlled double-blinded trial. The patients with ACUTE ABDOMEN and diagnosis of peritonitis (localized or generalized) who were candidate for surgical treatment were divided randomly into two groups. One group was injected 5 mg morphine intravenously and the other was injected normal saline as placebo. The pain was measured by «Visual Analog Scale» and the physical exam recorded prior and one hour after the intervention. The physical exam findings were observed with a view to both the location and the severity in the nine divisions of the abdomen.Results: The pain decrease was about 25.7% in morphine group and 11.5% in placebo group on the basis of visual analog scale, which the difference was statistically significant (P Value<0.0001). The different aspects of physical exam including tenderness (superficial and deep), percussion and rebound tenderness and voluntary and involuntary guarding did not change after the intervention. In the same manner the other abdominal signs of peritoneal irritation (e.g. cough sign, heel sign) did not alter.Conclusions: ANALGESICS do not change the signs of peritoneal irritation and their severity. Therefore the fear that ANALGESICS may conceal signs in ACUTE ABDOMEN is not correct. In according to the results of this and other similar studies, the physicians should not refuse to give ANALGESICS to their patients with abdominal pain.

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APA: Copy

SOROUSH, A.R., KHOURGAMI, ZH., MAHMOUDZADEH, HOSSEIN, & HOSSEINI ARAGHI, N.. (2006). EFFECT OF MORPHINE ON SYMPTOMS AND SIGNS OF PATIENTS WITH ACUTE ABDOMEN IN PATIENTS IN SHARIATI HOSPITAL EMERGENCY WARD IN 2004 – 2005. IRANIAN JOURNAL OF SURGERY, 14(2), 23-29. SID. https://sid.ir/paper/549329/en

Vancouver: Copy

SOROUSH A.R., KHOURGAMI ZH., MAHMOUDZADEH HOSSEIN, HOSSEINI ARAGHI N.. EFFECT OF MORPHINE ON SYMPTOMS AND SIGNS OF PATIENTS WITH ACUTE ABDOMEN IN PATIENTS IN SHARIATI HOSPITAL EMERGENCY WARD IN 2004 – 2005. IRANIAN JOURNAL OF SURGERY[Internet]. 2006;14(2):23-29. Available from: https://sid.ir/paper/549329/en

IEEE: Copy

A.R. SOROUSH, ZH. KHOURGAMI, HOSSEIN MAHMOUDZADEH, and N. HOSSEINI ARAGHI, “EFFECT OF MORPHINE ON SYMPTOMS AND SIGNS OF PATIENTS WITH ACUTE ABDOMEN IN PATIENTS IN SHARIATI HOSPITAL EMERGENCY WARD IN 2004 – 2005,” IRANIAN JOURNAL OF SURGERY, vol. 14, no. 2, pp. 23–29, 2006, [Online]. Available: https://sid.ir/paper/549329/en

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