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Retrospective evaluation of quality of life in patients undergoing sacroiliac joint denervation with simplicity. 单纯骶髂关节去神经术患者生活质量的回顾性评价。
IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-07-01 DOI: 10.14744/agri.2022.59365
Çiğdem Yalçın, Altan Şahin

Objectives: The sacroiliac joint (SIJ) is the third most common cause of low back pain. The treatment of SIJ-induced pain is often conservative. When conservative treatments fail, interventional treatment methods, such as intra-articular injection or radiofrequency (RF) denervation are applied. Recently, in addition to the success of this interventional treatment applied, increased patient satisfaction and quality of life after treatment have also gained importance. The aim of this retrospective study was to evaluate pain management and improvement in the quality of life in patients with SIJ pain who underwent RF denervation with the simplicity probe.

Methods: The files of patients with SIJ degeneration on Ferguson X-ray, who underwent diagnostic intra-articular block for SIJ and had more than 50% reduction in pain were screened, and 38 cases in which simplicity RF neurotomy was applied were identified. The age, sex, and numerical rating scale (NRS) and short form (SF)-36 scores of the remaining 30 patients were recorded before and at 6 months after the procedure.

Results: There was a statistically significant decrease in NRS between the pre-procedure and post-procedure (6-month) values. The decrease in NRS did not significantly differ according to sex. A statistically significant improvement in all the domains of SF-36 in the post-procedure period compared to the pre-procedure period. There was no significant sex-related difference in the improvement of the SF-36 domains, except for the emotional role functioning domain, for which the scores were significantly higher in women than in men.

Conclusion: In patients with SIJ pain who positively respond to steroid injection, the application of Simplicity III achieves long-term pain management and increases patient comfort and satisfaction pain without any complications.

目的:骶髂关节(SIJ)是腰痛的第三大常见原因。sij引起的疼痛通常采用保守治疗。当保守治疗失败时,采用介入治疗方法,如关节内注射或射频(RF)去神经。最近,除了这种介入治疗的成功应用外,提高患者的满意度和治疗后的生活质量也变得越来越重要。本回顾性研究的目的是评估使用单纯性探针进行射频去神经支配的SIJ疼痛患者的疼痛管理和生活质量的改善。方法:筛选在Ferguson x线上对SIJ退变患者进行诊断性关节内阻滞治疗,疼痛减轻50%以上的患者档案,并确定38例单纯性RF神经切断术。其余30例患者在术前和术后6个月分别记录年龄、性别、数值评定量表(NRS)和SF -36评分。结果:术前与术后(6个月)NRS值有统计学意义的降低。NRS的下降在性别上没有显著差异。与术前相比,术后SF-36的所有领域都有统计学上的显著改善。在SF-36领域,除了情感角色功能领域,女性的得分明显高于男性外,没有显著的性别相关差异。结论:对于类固醇注射有积极反应的SIJ型疼痛患者,应用Simplicity III实现了长期疼痛管理,增加了患者的舒适度和满意度,无任何并发症。
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引用次数: 0
[Artificial intelligence-powered ultrasound guided regional nerve block in three patients: Case report]. 【人工智能超声引导局部神经阻滞3例】。
IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-07-01 DOI: 10.14744/agri.2021.56887
Gökhan Erdem, Yasemin Ermiş, Derya Özkan

The use of ultrasound in regional anesthesia plays an important role in determining the variable anatomical structures and their localization. In these days, developments in ultrasonography devices and probes, hardware, and software technologies such as real-time needle tip tracking are increasing rapidly. Artificial intelligence-powered ultrasonography is one of them. In this case report, we aimed to present three cases where regional block was applied using artificial intelligence-powered (Nerveblox) ultrasound. Infraclavicular nerve block to two of our patients and pectoral nerve block to the third one were applied successfully once at a time. None of the patients developed vascular puncture or local anesthetic toxicity. The use of artificial intelligence support in peripheral nerve blocks may reduce the number of attempts and duration of interventions.

超声在区域麻醉中的应用对确定可变解剖结构及其定位起着重要作用。在这些日子里,超声设备和探头的发展,硬件和软件技术,如实时针尖跟踪正在迅速增加。人工智能超声检查就是其中之一。在本病例报告中,我们旨在介绍三个使用人工智能驱动(Nerveblox)超声应用区域阻滞的病例。两名患者的锁骨下神经阻滞第三名患者的胸神经阻滞一次成功。所有患者均未出现血管穿刺或局部麻醉毒性。在周围神经阻滞中使用人工智能支持可以减少干预的次数和持续时间。
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引用次数: 2
The role of internalizing problems on headache characteristics and pain coping strategies among adolescents diagnosed with episodic migraine. 内化问题对发作性偏头痛青少年头痛特征和疼痛应对策略的影响。
IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-07-01 DOI: 10.14744/agri.2022.75233
Ozan Kayar, Fevziye Toros, Gülen Güler Aksu, Aynur Özge

Objectives: The aim of this study is to investigate the correlational processes and possible mediation mechanisms between internalizing problems and significant indicators of headache (pain frequency, duration, and intensity) and pain coping strategies among adolescents diagnosed with episodic migraine.

Methods: The study sample included 143 adolescents diagnosed with episodic migraine in compliance with the diagnostic criteria specified in ICHD-3. In collecting data, Sociodemographic Information Form, Headache Questionnaire Form, Pain Coping Questionnaire, Children's Depression Questionnaire, and Screen for Child Anxiety-Related Disorders: Child Form were used. Statistical analyses of the study were carried out using the 'SPSS for Windows Package Program.'

Results: The findings of the study indicate that adolescents suffer from a higher headache frequency per month in parallel with higher levels of depression (r=0.28, p<0.05), total anxiety (r=0.19, p<0.05), panic disorder/somatic symptoms (r=0.22, p<0.05), and school avoidance (r=0.21, p<0.05). In addition, the higher the levels of internalizing problems among adolescents are, the more common is the use of coping strategies that give rise to feelings of helplessness in the face of pain (r=0.27, p<0.01). On the other hand, the study findings concerning mediation mechanisms show that the level of depression is a full mediator in correlations between the levels of panic disorders/somatic symptoms and school avoidance and both monthly headache frequency and use of coping strategies that give rise to feelings of helplessness in the face of pain among adolescents.

Conclusion: The results of the study also offer an insight into the age-related phenotypic variation and chronicity of migraine.

目的:本研究旨在探讨青少年发作性偏头痛患者的内化问题与头痛重要指标(疼痛频率、持续时间和强度)和疼痛应对策略之间的相关过程和可能的中介机制。方法:研究样本包括143名符合ICHD-3诊断标准诊断为发作性偏头痛的青少年。数据收集采用社会人口统计信息表、头痛问卷、疼痛应对问卷、儿童抑郁问卷和儿童焦虑相关障碍筛查表。本研究采用SPSS for Windows软件包程序进行统计分析。结果:研究结果表明,青少年每月头痛的频率更高,抑郁的程度也更高(r=0.28, p)。结论:研究结果还为偏头痛的年龄相关表型变异和慢性性提供了新的见解。
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引用次数: 0
Physiotherapeutic treatment associated with the pain neuroscience education for patients with chronic non-specific low back pain-single-blind randomized pilot clinical trial. 物理治疗联合疼痛神经科学教育对慢性非特异性腰痛患者的影响——单盲随机先导临床试验
IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-07-01 DOI: 10.14744/agri.2022.33349
Angela Shiratsu Yamada, Flavia Tasmin Techera Antunes, Sara Moreno Rebelo Vaz, Beatriz Vilanova Saraiva, Alessandra Hubner De Souza, Daniel Simon

Objectives: Pain Neuroscience Education (PNE) shows improvement in pain and functional capacity in patients with chronic low back pain (CLBP). Therefore, the study aimed to verify if the physiotherapeutic treatment associated with PNE decreases the functional disability of patients with nonspecific CLBP.

Methods: Forty patients were clinically evaluated and answered the following questionnaires: Brief pain inventory, Central Sensitization Inventory (CSI), Roland-Morris disability questionnaire, pain catastrophizing scale, Tampa scale of kinesiophobia, hospital anxiety, and depression scale, SF6D quality of life questionnaire and performed quantitative sensory tests (QSTs). Afterward, they were randomly divided into the intervention group (IG, n=20) and the control group (CG, n=20). Both performed kinesiotherapy exercises twice a week for 6 weeks. The IG received 3 individual PNE sessions and answered the pain neurophysiology questionnaire.

Results: IG showed significant improvement for all variables analyzed (p<0.001). The association decreased the kinesiophobia (estimated difference between CG-IG means: 7.6-95% CI: 2.3-12.9) (p=0.006). In the lumbar paravertebral region (CG and IG), there was a statistical difference in the intensity of CLBP in the QSTs (p<0.05).

Conclusion: The association showed better results compared to only therapeutic exercises to reduce kinesiophobia and change the perception of pain intensity in the lumbar region.

目的:疼痛神经科学教育(PNE)显示慢性腰痛(CLBP)患者疼痛和功能能力的改善。因此,本研究旨在验证与PNE相关的物理治疗是否能降低非特异性CLBP患者的功能障碍。方法:对40例患者进行临床评估,填写简短疼痛量表、中枢致敏性量表(CSI)、Roland-Morris残疾问卷、疼痛灾难化量表、坦帕运动恐惧症量表、医院焦虑和抑郁量表、SF6D生活质量问卷,并进行定量感觉测试(QSTs)。随后将患者随机分为干预组(IG, n=20)和对照组(CG, n=20)。两组均进行运动疗法练习,每周两次,持续6周。IG接受3次单独PNE治疗,并回答疼痛神经生理问卷。结果:IG在分析的所有变量中都显示出显著的改善(结论:与仅治疗性运动相比,该关联显示出更好的结果,以减少运动恐惧症并改变腰区疼痛强度的感知。
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引用次数: 0
Anterior approach to suprascapular nerve block combined with axillary nerve block for shoulder arthroplasty. 肩胛上神经阻滞联合腋窝神经阻滞前路肩关节置换术。
IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-07-01 DOI: 10.14744/agri.2021.77527
Hadi Ufuk Yörükoğlu, Yavuz Gürkan, Can Aksu

Arthroscopic shoulder operations are associated with postoperative pain, which can lead to chronic pain if not treated effectively. The classic posterior approach for the suprascapular nerve is associated with higher technical failures, and it is a more painful procedure for the patients. We report a case of a 72-year-old male patient who underwent right shoulder arthroplasty. We performed ultrasound-guided suprascapular nerve block with an anterior approach, combined with an axillary nerve block, and provided effective analgesia.

肩关节镜手术与术后疼痛有关,如果治疗不有效,可能导致慢性疼痛。经典的肩胛上神经后路入路技术失败率较高,对患者来说是一个更痛苦的手术。我们报告一例72岁男性患者接受右肩关节置换术。我们采用超声引导下肩胛上神经阻滞与前路联合腋窝神经阻滞,并提供有效的镇痛。
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引用次数: 0
Because little evidence of adverse effects is included in the guidelines for the pharmacological treatment of many diseases, it causes 'Pregabalinophobia'. 由于许多疾病的药理学治疗指南中几乎没有包括不良反应的证据,因此它导致了“普瑞巴林恐惧症”。
IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-07-01 DOI: 10.14744/agri.2022.79803
Katsuhiro Toda
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引用次数: 0
Thinking beyond the site of surgery in failed back surgery syndrome: Two cases with parathyroid adenoma and meningioma. 背部手术失败综合征的超越手术部位的思考:甲状旁腺瘤和脑膜瘤2例。
IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-07-01 DOI: 10.14744/agri.2021.26428
Damla Yürük, Hüseyin Alp Alptekin
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引用次数: 0
Comparison of kinesio taping, trigger point injection, and neural therapy in the treatment of acute myofascial pain syndrome: A randomized controlled study. 运动肌贴、触发点注射和神经疗法治疗急性肌筋膜疼痛综合征的比较:一项随机对照研究。
IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-07-01 DOI: 10.14744/agri.2022.39259
Saime Ay, Birkan Sonel Tur, Merve Karakaş, Derya Gökmen, Turgay Altınbilek, Deniz Evcik

Objectives: Myofascial pain syndrome (MPS) is a regional painful soft-tissue disorder, characterized by trigger points (TrPs) and taut bands in the muscles. In this study, we aimed to compare the effectiveness of kinesio taping (KT), TrPs injection, and neural therapy (NT) on pain and disability in acute MPS.

Methods: 104 patients with MPS in the cervical region were allocated into three groups. Group 1 (n=35) were treated with KT, Group 2 (n=35) received local anesthetic (LA) (lidocaine of 0.5%) TrPs injection, and Group 3 (n=34) received NT with the same LA solution. Patients were assessed by means of pain, pressure pain threshold (PPT), and disability. Pain severity was measured by Visual Analog Scale. The neck pain disability scale was used for assessing disability. PPT was measured by using an algometer. Measurements were taken before and after treatment of 3rd and 7th days.

Results: There were improvements on pain and disability in all groups at the end of treatments at 3rd day and during follow-up period (p<0.001) and no differences were found between the groups. There was significant difference in PPT values in TrPs injection and NT groups in comparisons between all time periods, however, the change, depending on time in the KT group, was not statistically significant.

Conclusion: The results of this study show that all these three treatment methods found to be effective on pain relief and disability in acute MPS. In terms of PPT, injection treatments seem to be superior than KT.

目的:肌筋膜疼痛综合征(MPS)是一种区域性疼痛的软组织疾病,其特征是触发点(TrPs)和肌肉紧绷带。在这项研究中,我们旨在比较运动贴敷(KT)、TrPs注射和神经治疗(NT)对急性MPS疼痛和残疾的疗效。方法:104例宫颈MPS患者分为3组。第1组(n=35)给予KT治疗,第2组(n=35)给予局麻药(0.5%利多卡因)TrPs注射液,第3组(n=34)给予相同LA溶液的NT治疗。通过疼痛、压痛阈值(PPT)和残疾程度对患者进行评估。采用视觉模拟量表测量疼痛严重程度。采用颈痛残疾量表评估残疾程度。PPT测量采用测焦仪。分别于治疗前和治疗后第3天和第7天进行测量。结果:治疗结束后第3天及随访期间,各组患者疼痛和残疾情况均有改善(p)。结论:本研究结果表明,三种治疗方法均能有效缓解急性MPS患者的疼痛和残疾。在PPT方面,注射治疗似乎优于KT治疗。
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引用次数: 0
Comparison of the diagnoses, the outpatient clinics they visited, and the number of visits of patients with and without a diagnosis of fibromyalgia syndrome: Do patients with fibromyalgia syndrome come to the hospital more often? 纤维肌痛综合征患者的诊断率、门诊诊断率和非纤维肌痛综合征患者的诊断率的比较:纤维肌痛综合征患者是否更常去医院?
IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-07-01 DOI: 10.14744/agri.2022.99076
Mehmet Okçu, Mustafa Yemliha Ayhan, Figen Tuncay, Fatmanur Aybala Koçak, Yakup Erden, Yıldız Gonca Doğru, Samet Sancar Kaya

Objectives: Fibromyalgia syndrome (FMS) has a wide spectrum of symptoms that includes all body parts. So FMS is a great imitator. This brings to mind the possibility that fibromyalgia patients visit outpatient clinics in many departments more than non-fibromyalgia patients. However, there is not enough data on this subject. This study aims to compare the number of outpatient visits of patients with FMS with those without a diagnosis of FMS and to examine their diagnoses.

Methods: The diagnoses of 140 patients (70 with fibromyalgia and 70 controls), and departments of the outpatient clinics they visited were analyzed retrospectively. In the control group, patients who visited the same outpatient clinic with the complaint of knee pain, but who did not have FMS and who had never been diagnosed with FMS before, were recruited as age- and gender-matched.

Results: The total number of outpatient clinic visits, as well as the number of visits to physical medicine and rehabilitation, obstetrics and gynecology, general surgery, internal medicine, and psychiatry departments, were significantly higher in fibromyalgia group patients compared to the control group. In addition, the number of diagnoses in the 5th chapter (mental, behavioral, and neurodevelopmental disorders, F01-F99) of International Classification of Diseases-10 was significantly higher in the fibromyalgia group.

Conclusion: It should be kept in mind that patients with FMS visit more hospitals and outpatient clinics than other patients. Physicians and patients should be informed about this issue to reduce unnecessary health costs.

目的:纤维肌痛综合征(FMS)具有广泛的症状,包括身体的所有部位。所以FMS是一个很好的模仿者。这让人想到纤维肌痛患者比非纤维肌痛患者在许多部门访问门诊的可能性。然而,在这个问题上没有足够的数据。本研究旨在比较FMS患者与未诊断为FMS的患者的门诊次数,并检查他们的诊断。方法:回顾性分析140例纤维肌痛患者(其中纤维肌痛患者70例,对照组70例)的诊断及门诊科室。在对照组中,以膝关节疼痛为主诉就诊于同一门诊,但未患FMS且以前从未被诊断为FMS的患者被招募为年龄和性别匹配的患者。结果:纤维肌痛组患者的门诊总就诊次数、物理医学与康复科、妇产科、普外科、内科、精神科就诊次数均显著高于对照组。此外,纤维肌痛组在《国际疾病分类-10》第5章(精神、行为和神经发育障碍,F01-F99)中的诊断率显著高于前者。结论:FMS患者就诊次数和门诊次数均高于其他患者。应告知医生和患者这一问题,以减少不必要的医疗费用。
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引用次数: 0
[Infraclavicular block for elbow surgery in a patient with pneumonectomy: Case report]. [锁骨下阻滞治疗全肺切除患者1例报告]。
IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-07-01 DOI: 10.14744/agri.2021.68726
Muhammet Ahmet Karakaya, Muhammet Selman Söğüt, Seçil Çetin, Mete Manici, Yavuz Gürkan

Diaphragmatic paralysis is one of the most important complications of upper extremity blocks and therefore limits the use of these blocks in patients with impaired respiratory functions. The appropriate block type should be selected by evaluating the location of the surgery and the risks of diaphragmatic paralysis of various blocks. In this case report, we aimed to evaluate the peripheral nerve blocks associated with diaphragmatic paralysis by presenting the anesthesia management of a patient with pneumonectomy planned for elbow arthroplasty due to elbow luxation.

膈肌麻痹是上肢阻滞最重要的并发症之一,因此限制了这些阻滞在呼吸功能受损患者中的应用。应通过评估手术位置和各种阻滞引起膈肌麻痹的风险来选择合适的阻滞类型。在本病例报告中,我们通过报道一例因肘关节脱位而行全肺切除肘关节置换术的患者的麻醉处理,旨在评估与膈肌麻痹相关的周围神经阻滞。
{"title":"[Infraclavicular block for elbow surgery in a patient with pneumonectomy: Case report].","authors":"Muhammet Ahmet Karakaya,&nbsp;Muhammet Selman Söğüt,&nbsp;Seçil Çetin,&nbsp;Mete Manici,&nbsp;Yavuz Gürkan","doi":"10.14744/agri.2021.68726","DOIUrl":"https://doi.org/10.14744/agri.2021.68726","url":null,"abstract":"<p><p>Diaphragmatic paralysis is one of the most important complications of upper extremity blocks and therefore limits the use of these blocks in patients with impaired respiratory functions. The appropriate block type should be selected by evaluating the location of the surgery and the risks of diaphragmatic paralysis of various blocks. In this case report, we aimed to evaluate the peripheral nerve blocks associated with diaphragmatic paralysis by presenting the anesthesia management of a patient with pneumonectomy planned for elbow arthroplasty due to elbow luxation.</p>","PeriodicalId":45603,"journal":{"name":"Agri-The Journal of the Turkish Society of Algology","volume":"35 3","pages":"172-174"},"PeriodicalIF":0.6,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9873241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Agri-The Journal of the Turkish Society of Algology
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