<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0185-3252</journal-id>
<journal-title><![CDATA[Anales médicos (México, Ciudad de México)]]></journal-title>
<abbrev-journal-title><![CDATA[An. méd.]]></abbrev-journal-title>
<issn>0185-3252</issn>
<publisher>
<publisher-name><![CDATA[Asociación Médica del Centro Médico ABC]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0185-32522025000400004</article-id>
<article-id pub-id-type="doi">10.24875/amh.m25000126</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Evaluación de la pregabalina para el manejo del dolor posquirúrgico en cirugía proctológica]]></article-title>
<article-title xml:lang="en"><![CDATA[Pregabalin for the management of postoperative pain in proctological surgeries]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez-Cano]]></surname>
<given-names><![CDATA[Iván A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López-Bernal]]></surname>
<given-names><![CDATA[Carlos A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bazán-Ordeñana]]></surname>
<given-names><![CDATA[Omar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Montiel-Jarquín]]></surname>
<given-names><![CDATA[Álvaro J.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barranco-Cuevas]]></surname>
<given-names><![CDATA[Irma A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Loría-Castellanos]]></surname>
<given-names><![CDATA[Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bertado-Ramírez]]></surname>
<given-names><![CDATA[Nancy R.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Porras-Juárez]]></surname>
<given-names><![CDATA[Angélica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Parra-Salazar]]></surname>
<given-names><![CDATA[José A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Galicia]]></surname>
<given-names><![CDATA[Arturo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Maldonado-Castañeda]]></surname>
<given-names><![CDATA[Sandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital de Especialidades de Puebla Departamento de Cirugía General]]></institution>
<addr-line><![CDATA[Puebla ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital de Especialidades de Puebla Departamento de Anestesiología]]></institution>
<addr-line><![CDATA[Puebla ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital de Especialidades de Puebla Dirección de Educación e Investigación en Salud]]></institution>
<addr-line><![CDATA[Puebla ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Órgano de Operación Administrativa Desconcentrada de Puebla Departamento de Medicina Familiar, Unidad de Medicina Familiar No. 7]]></institution>
<addr-line><![CDATA[Puebla ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Red Nacional de Simulación Clínica  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital de Especialidades de Puebla ]]></institution>
<addr-line><![CDATA[Puebla ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,IMSS Bienestar Modelo de Atención a la Salud para el Bienestar ]]></institution>
<addr-line><![CDATA[Puebla ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<volume>70</volume>
<numero>4</numero>
<fpage>275</fpage>
<lpage>278</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0185-32522025000400004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0185-32522025000400004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0185-32522025000400004&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Antecedentes: El manejo del dolor posquirúrgico es un reto para los médicos que practican cirugía proctológica. El uso de antiinflamatorios no esteroideos y opiáceos está descrito en el manejo.  Objetivo: Comparar la eficacia y la seguridad de la pregabalina frente al ketorolaco para el manejo del dolor en estos pacientes.  Material y métodos: Estudio comparativo, realizado en pacientes operados de cirugía proctológica, de marzo de 2021 a septiembre de 2024. Al grupo A se le administró pregabalina, 75 mg/dosis total, y grupo B ketorolaco, 30 mg/dosis. Se midió el grado de dolor posoperatorio con la EVA, a las 2 y a las 24 horas.  Resultados: Los valores medios de dolor en los pacientes a las 2 horas fueron 4.07 y 4.23 para pregabalina y ketorolaco, respectivamente, sin diferencia estadísticamente significativa (p &#8805; 0.001), y a las 24 horas fueron de 1.92 y 1.90, también sin diferencia estadísticamente significativa (p &#8805; 0.001). Hubo disminución del dolor en ambos grupos de pacientes a las 24 horas comparado con las 2 horas de operados, con diferencias estadísticamente significativas (p &#8804; 0.001).  Conclusiones: La pregabalina es efectiva para el manejo del dolor posoperatorio en cirugía proctológica; sin embargo, presenta efectos secundarios que deberán ser considerados y controlados.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background: The management of postoperative pain is a challenge for physicians performing proctological surgeries. The use of non-steroidal anti-inflammatory drugs and opioids is described in the management.  Objective: To compare the efficacy and safety of pregabalin compared to ketorolac for pain management in these patients.  Material and methods: A comparative study conducted in patients who underwent proctological surgery from March 2021 to September 2024. Group A received pregabalin, 75 mg/dose total, and group B received ketorolac, 30 mg/dose. The degree of postoperative pain was measured using the VAS at 2 and 24 hours.  Results: The mean pain values in patients at 2 hours were 4.07 and 4.23 for pregabalin and ketorolac, respectively, without statistically significant difference (p &#8805; 0.001), and at 24 hours were 1.92 and 1.90, also showing not statistically significant difference (p &#8805; 0.001). There was a decrease in pain in both groups of patients at 24 hours compared to 2 hours post-surgery, with statistically significant differences (p &#8804; 0.001).  Conclusions: Pregabalin is effective for managing postoperative pain in proctological surgery; however, it presents side effects that should be considered and managed.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Pregabalina]]></kwd>
<kwd lng="es"><![CDATA[Dolor posquirúrgico]]></kwd>
<kwd lng="es"><![CDATA[Cirugía proctológica]]></kwd>
<kwd lng="es"><![CDATA[Efectividad]]></kwd>
<kwd lng="en"><![CDATA[Pregabalin]]></kwd>
<kwd lng="en"><![CDATA[Postoperative pain]]></kwd>
<kwd lng="en"><![CDATA[Proctological surgery]]></kwd>
<kwd lng="en"><![CDATA[Effectiveness]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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