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An unusual obstacle to the thoracic interlaminar epidural injection for the treatment of post-herpetic neuralgia. 一个不寻常的障碍,胸椎板间硬膜外注射治疗疱疹后神经痛。
IF 0.6 Q3 Medicine Pub Date : 2023-01-01 DOI: 10.14744/agri.2020.68878
Serhad Bilim, Savaş Şencan, Osman Hakan Gündüz
Interlaminar epidural steroid injections corresponding to dermatomes affected by post-herpetic neuralgia (PHN) were found effective in reducing pain. Diffuse idiopathic skeletal hyperostosis (DISH) is a non-inflammatory condition that mainly occurs with calcification and ossification of spinal ligaments such as anterior and posterior longitudinal, interspinous, supraspinous ligament, and ligamentum flavum. In this case, it is presented that the failure of the access to the T7-T8 interlaminar space due to the supra/interspinous ligament calcification and ossification accompanied by thoracic DISH in a 73-year-old male for the treatment of PHN.
膜间硬膜外类固醇注射对应的皮体受疱疹后神经痛(PHN)发现有效减轻疼痛。弥漫性特发性骨骼肥厚症(DISH)是一种非炎症性疾病,主要发生在脊柱韧带的钙化和骨化,如前后纵韧带、棘间韧带、棘上韧带和黄韧带。在本病例中,我们报道了一名73岁男性患者治疗PHN时,由于上/棘间韧带钙化和骨化并伴有胸腔DISH,导致进入T7-T8椎间间隙的失败。
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引用次数: 0
Evaluation of pupil diameter for pain assessment in interventional headache management. 介入性头痛治疗中瞳孔直径对疼痛评估的评价。
IF 0.6 Q3 Medicine Pub Date : 2023-01-01 DOI: 10.14744/agri.2022.37880
Resul Yılmaz, Gökhan Kocadağ, Şule Arıcan, Mustafa Özdemir, Ruhiye Reisli, Sema Tuncer Uzun

Objectives: Pain is a subjective experience. Besides, sensory, affective and behavioral responses, and autonomic response are part of pain response to noxious stimuli. Evaluation of pupil diameter by pupillometry has been used as an alternative method for pain assessment. In algologic procedures like interventional headache management have not been addressed in the literature. Herein, we investigated changes in pupil diameter during interventional headache management as an objective method for pain assessment.

Methods: Demographic data of the patients were collected before the bilateral major occipital nerve blockage (MONB) procedure. Numeric rating score (NRS) and pupil diameter measurements by pupillometer were recorded before MONB. Standard MONB procedure was applied to all patients. Pain assessment and pupillary diameter measurements were obtained after nerve blockage.

Results: Twenty-eight patients were included in this study. Mean age was 41.03+-12.63 years. There is no difference between the hemodynamic parameters before and after the procedure. Post-procedure NRS and pupil diameter values were significantly lower than pre-procedure values. There was a positive correlation between changes in NRS scores and changes in the right and left pupil diameters.

Conclusion: There was a significant correlation between NRS score and pupil diameter in patients who underwent MONB. Monitoring of pupil diameter can be used for pain assessment during headache treatment. Evaluation of pupil diameter is a new approach in pain palliation. Future research is needed to study the effect of other parameters, that is, gender, age, origin of pain, acute, and chronic pain on pupil diameter and to evaluate its application in different algological procedures.

目的:疼痛是一种主观体验。此外,感觉反应、情感反应、行为反应和自主神经反应是疼痛对有害刺激反应的组成部分。通过瞳孔测量法评估瞳孔直径已被用作评估疼痛的另一种方法。在神经科手术中,如介入性头痛管理在文献中尚未得到解决。在此,我们研究了在介入治疗头痛期间瞳孔直径的变化,作为疼痛评估的客观方法。方法:收集双侧枕大神经阻滞(MONB)手术前患者的人口学资料。手术前记录数字评定评分(NRS)和瞳孔计测量的瞳孔直径。所有患者均采用标准MONB程序。神经阻塞后进行疼痛评估和瞳孔直径测量。结果:28例患者纳入本研究。平均年龄41.03±12.63岁。手术前后血流动力学参数无差异。术后NRS和瞳孔直径值明显低于术前值。NRS评分变化与左右瞳孔直径变化呈正相关。结论:MONB患者NRS评分与瞳孔直径有显著相关性。监测瞳孔直径可用于头痛治疗期间的疼痛评估。瞳孔直径评估是疼痛缓解的新途径。未来的研究需要进一步研究其他参数,如性别、年龄、疼痛来源、急性和慢性疼痛对瞳孔直径的影响,并评估其在不同外科手术中的应用。
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引用次数: 0
Investigation of the levels of low back pain, depression, and burnout of the personnel providing formal care for children with disability and elderly individuals. 残疾儿童和老年人正规护理人员腰痛、抑郁和倦怠水平的调查
IF 0.6 Q3 Medicine Pub Date : 2022-10-01 DOI: 10.14744/agri.2021.68094
Seda Karaman, Özlem Çınar Özdemir

Objectives: The aim of the study was to investigate and compare the low-back pain, depression, and burnout levels among formal caregivers of elderly individuals and children with disability.

Methods: This descriptive and cross-sectional study included 29 caregivers of children with disabilities (Group 1) and 26 caregivers of elderly individuals (Group 2). The sociodemographic characteristics of the participants were questioned. The part of low back pain in the Standardized Nordic Musculoskeletal Questionnaire was used to estimate of low back pain. Beck Depression Inventory and Maslach Burnout Inventory were used to evaluate the levels of depression and burnout, respectively. In analysis, percentage values, mean, standard deviation, frequency, and t-test for comparative statistics and Chi-square and Fisher Exact test for categorical variables were used.

Results: There was a significant difference between the two groups only for the frequency of pain (p=0.039). There was a significant difference in depression levels between the groups (p=0.001) and no difference in the burnout level of the among groups (emotional exhaustion p=0.21; depersonalization p=0.95; and personal achievement p=0.066).

Conclusion: It was observed that the disabled and elderly care personnel included in this study similarly experienced moderate burnout, and they also had similar complaints in terms of low back pain, except for the frequency of pain. It was found that the depression levels of the disabled child caregivers were higher than the elderly caregivers. As a result, it has been seen that care work can cause both physical and psychosocial problems in both groups.

目的:本研究的目的是调查和比较老年人和残疾儿童的正式护理人员的腰痛、抑郁和倦怠水平。方法:采用描述性和横断面研究方法,对29名残疾儿童护理人员(第一组)和26名老年人护理人员(第二组)进行调查。调查对象的社会人口学特征。采用北欧标准化肌肉骨骼问卷中的腰痛部分来评估腰痛。采用Beck抑郁量表和Maslach倦怠量表分别评估抑郁和倦怠水平。在分析中,使用百分比值、平均值、标准差、频率、比较统计量的t检验和分类变量的卡方检验和Fisher精确检验。结果:两组患者仅疼痛频次差异有统计学意义(p=0.039)。抑郁水平组间差异有统计学意义(p=0.001),倦怠水平组间差异无统计学意义(情绪耗竭p=0.21;人格解体p = 0.95;和个人成就p=0.066)。结论:在本研究中,残障人员和老年护理人员都有类似的中度倦怠,他们在腰痛方面也有类似的抱怨,只是疼痛的频率不同。研究发现,残疾儿童照顾者的抑郁水平高于老年照顾者。因此,人们已经看到,护理工作在这两个群体中都可能造成身体和心理问题。
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引用次数: 0
Preliminary validation of the Turkish version of the pain catastrophizing scale for children and parents (PCS-C and PCS-P) in primary childhood headache. 土耳其版儿童及家长疼痛灾变量表(PCS-C和PCS-P)对儿童原发性头痛的初步验证。
IF 0.6 Q3 Medicine Pub Date : 2022-10-01 DOI: 10.14744/agri.2021.92195
İlteriş Ahmet Şentürk, Egemen Ünal, Mahmut Cem Tarakçıoğlu, Müge Kepekçi, Edibe Pembegül Yıldız
OBJECTIVESThe aims of this study were to translate the pain catastrophizing scale for children and parents (PCS-C and PCS-P) into Turkish (TurPCS-C and TurPCS-P) and evaluate the psychometric properties in children with primary headache.METHODSExploratory factor analysis was used to test the construct validity. Reliability was measured using item-total score correlation, internal consistency (Cronbach α coefficient), Cronbach α if the item was deleted, and test-retest correlation. Concurrent validity and convergent validity of the scales were correlated with other scales (Revised Children's Anxiety and Depression Scale [RCADS], RCADS Parent RCADS-P, Quality of Life Scale for Children [PedsQL], and PedsQL-Parents [PedsQL-P]) and some related features (pain intensity, mobile phone usage time, and headache duration).RESULTSOf the 80 children participating in the study, 55 (68.8%) were girls and 25 (31.2%) were boys. It was determined that the original three-factor structure was not supported for TurPCS-C and TurPCS-P. Cronbach α value was 0.871 for TurPCS-C consisting of 12 items, and Cronbach α value was 0.890 for TurPCS-P consisting of 12 items. As the PedsQL score increased, there was a negative correlation (p<0.05, r=-0.575) in all three areas of TurPCS-C, and there was a positive correlation (p<0.05) among the scores from the RCADS scale and TurPCS-C. Similarly, there was a negative correlation with PedsQL-P and TurPCS-P and positive correlation with RCADS-P and TurPCS-P (p<0.05 for each).CONCLUSIONTurPCS-C and TurPCS-P are an evaluation instrument with sufficient validity and reliability, and it can be reliably used to examine pediatric patients with primary headache.
目的:本研究的目的是将儿童和家长疼痛灾难化量表(PCS-C和PCS-P)翻译成土耳其语(TurPCS-C和TurPCS-P),并评估原发性头痛儿童的心理测量特征。方法:采用探索性因素分析对构念效度进行检验。信度采用项目总分相关、内部一致性(Cronbach α系数)、删除项目时的Cronbach α和重测相关来衡量。量表的并发效度和收敛效度与其他量表(修订儿童焦虑抑郁量表[RCADS]、RCADS家长RCADS- p、儿童生活质量量表[PedsQL]、儿童生活质量量表-父母生活质量量表[PedsQL- p])及相关特征(疼痛强度、手机使用时间、头痛持续时间)相关。结果:80名参与研究的儿童中,女孩55名(68.8%),男孩25名(31.2%)。确定TurPCS-C和TurPCS-P不支持原有的三因子结构。包含12个条目的TurPCS-C的Cronbach α值为0.871,包含12个条目的TurPCS-P的Cronbach α值为0.890。结论:TurPCS-C和TurPCS-P是一种具有足够效度和信度的评估工具,可可靠地用于儿科原发性头痛患者的检查。
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引用次数: 1
Spinal cord stimulator for the treatment of ischemic pain-Burger's disease and Raynaud's disease: A report of two cases and literature review. 脊髓刺激器治疗缺血性疼痛-伯格病和雷诺病:附2例报告并文献复习
IF 0.6 Q3 Medicine Pub Date : 2022-10-01 DOI: 10.14744/agri.2020.29053
Esra Ertilav, Osman Nuri Aydın

Ischemic pain is the main symptom of a group of diseases that result in inadequate blood flow to the extremities and ischemia. In this symptomatology, two major diseases are distinguished: Critical vascular disease and Raynaud's phenomenon. Critical vascular disease background of atherosclerosis caused by diabetes mellitus or hypertension. Raynaud phenomenon is divided into primary and secondary form. The primary form is due to vasospasm and there is no underlying cause. Secondary form is associated with underlying connective tissue or rheumatic diseases, peripheral vascular diseases such as thromboangitis obliterans (Burger's disease). Clinical findings in Raynaud's disease are vasomotor changes with cold exposure such as bruising, coldness, painful paresthesias, and ulcers due to chronic ischemia. Clinic presentation in critical ischemic disease is intermittent claudication for earlier stage and resting pain, gangrene, necrosis, and trophic changes were added in advanced stages. The treatment of the Raynaud 's disease in early stage is medical and conservative. In case of advanced stage ischemic vascular disease, medical treatment resistant pain, insufficient response to endovascular treatment, and inoperabl cases, interventions such as sympathectomy and spinal cord stimulation (SCS) can be applicable. SCS reduces vascular resistance through vasodilator mediators and increases blood flow. SCS also suppresses sympathetic vasoconstriction, increases tissue vascularity, reduces tissue damage, provides ulcer healing and pain reduction. In this report, we demonstrated that persistent Raynaud's disease and advanced stage Burger's disease were successfully treated with SCS.

缺血性疼痛是一组疾病的主要症状,导致血流不足的四肢和缺血。在这个症状学中,区分了两种主要疾病:危急血管病和雷诺现象。糖尿病或高血压引起的动脉粥样硬化的关键血管疾病背景。雷诺现象分为初级和次级形式。主要的形式是由于血管痉挛,没有潜在的原因。继发性形式与潜在的结缔组织或风湿病、周围血管疾病如血栓闭塞性血管炎(伯格氏病)有关。雷诺氏病的临床表现是血管舒缩性改变,如瘀伤、寒冷、疼痛的感觉异常和慢性缺血引起的溃疡。危重缺血性疾病的临床表现为早期间歇性跛行,晚期增加静息性疼痛、坏疽、坏死和营养改变。雷诺氏病的早期治疗是药物治疗和保守治疗。对于晚期缺血性血管疾病、药物治疗难治性疼痛、血管内治疗反应不足以及无法手术的病例,可以采用交感神经切除术和脊髓刺激(SCS)等干预措施。SCS通过血管舒张剂降低血管阻力,增加血流量。SCS还抑制交感血管收缩,增加组织血管,减少组织损伤,提供溃疡愈合和减轻疼痛。在本报告中,我们证明了持续性雷诺氏病和晚期伯格氏病可以成功地用SCS治疗。
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引用次数: 0
Evaluation of musculoskeletal pain and related factors in school-age children (8-12 years). 学龄儿童(8-12岁)肌肉骨骼疼痛及其相关因素的评估。
IF 0.6 Q3 Medicine Pub Date : 2022-10-01 DOI: 10.14744/agri.2021.04378
Seide Karasel, Nedime Karasel, Dua Cebeci

Objectives: The aim of this study was to evaluate the frequency of pain and related factors in musculoskeletal system in children.

Methods: A total of 313 primary school students were analyzed in this cross-sectional study conducted in the Famagusta city center and surrounding villages. The physical activity musculoskeletal pain (MSP) level, health-related quality of life weight, height, and school bag weights of the students were measured by a blinded researcher.

Results: The study group consisted of 164 (52.40%) boys and 149 (47.6%) girls with a mean age of 9.53±0.82 years. In the present study, MSP frequency was found to be 39.0%. There was no relationship between MSP and the following parameters: Age, sex, body mass index, hours of weekly gym lesson, regular participation in sports, weekly time spent with sports, school bag type, and school bag weight. There was also no relationship between these parameters and region of pain.

Conclusion: Excessive walking and sitting were associated with increased MSP. Contrary to popular opinion, it was found that school bag weight and school bag type were not effective on MSP. Our results show that the quality of life of children can be improved by reducing MSP.

目的:本研究的目的是评估儿童肌肉骨骼系统疼痛的频率和相关因素。方法:对法马古斯塔市中心及周边村庄313名小学生进行横断面调查。采用盲法测量学生的体力活动、肌肉骨骼疼痛(MSP)水平、健康相关生活质量、体重、身高和书包重量。结果:研究组男生164例(52.40%),女生149例(47.6%),平均年龄9.53±0.82岁。本研究发现MSP频率为39.0%。MSP与以下参数没有关系:年龄、性别、体重指数、每周体育课课时、定期参加体育运动、每周运动时间、书包类型和书包重量。这些参数与疼痛区域之间也没有关系。结论:过度步行和久坐与MSP升高有关。与流行的观点相反,我们发现书包的重量和书包的类型对MSP没有效果。我们的研究结果表明,减少MSP可以提高儿童的生活质量。
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引用次数: 0
Development of nursing students' attitudes scale toward pain assessment. 护生疼痛评估态度量表的编制。
IF 0.6 Q3 Medicine Pub Date : 2022-10-01 DOI: 10.14744/agri.2022.90018
Hülya Bulut, Sevil Güler, İnci Mercan Annak, Çiğdem Berk Özcan

Objectives: This study aims to the development of nursing students' attitudes scale toward pain assessment and establish its validity and reliability.

Methods: This was a methodological study conducted in the 2017-2018 academic year. The sample consisted of 300 nursing students attending at the Department of Nursing of Gazi and Selçuk Universities. First, a 51-item draft was developed based on a literature review and interviews with 25 students. Five experts were consulted for content validity. The items were revised, and six items were removed based on their feedback. The 45-item final version was applied to participants. Afterward, exploratory and confirmatory factor analyses were performed to determine the scale structure. Test-retest reliability was determined on 190 participants selected randomly from the sample.

Results: A 51-item draft was developed based on a literature review and interviews. Five experts were consulted for content validity, and six items were removed based on their feedback. The rotated principal component analysis revealed 15 items loaded on two factors. The total scale had internal consistency reliability (Cronbach's alpha; α) of 0.918 and test-retest reliability of 0.738.

Conclusion: Factor analyses showed that the scale had satisfactory construct validity and a two-factor structure. All α values were higher than 0.70, indicating that the scale had a satisfactory level of reliability. All in all, it is a valid and reliable scale that can be used to measure nursing students' attitudes toward pain assessment.

目的:编制护生疼痛评估态度量表,并对其效度和信度进行验证。方法:在2017-2018学年进行方法学研究。样本包括300名在Gazi和sel uk大学护理系就读的护理专业学生。首先,根据文献综述和对25名学生的采访,制定了一份51项的草案。内容效度咨询了5位专家。修改了项目,根据他们的反馈删除了6个项目。45项的最终版本应用于参与者。然后,进行探索性和验证性因素分析以确定量表结构。对从样本中随机抽取的190名参与者进行重测信度测定。结果:在文献回顾和访谈的基础上,制定了51项草案。对5位专家进行了内容效度咨询,并根据他们的反馈删除了6个项目。旋转主成分分析显示15个项目加载在两个因素上。总量表具有内部一致性信度(Cronbach’s alpha;α)为0.918,重测信度为0.738。结论:因子分析表明该量表具有良好的构念效度和双因子结构。所有α值均大于0.70,表明量表具有令人满意的信度。总而言之,该量表有效可靠,可用于衡量护生对疼痛评估的态度。
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引用次数: 0
The frequency and related factors of primary headaches in patients with Hashimoto thyroiditis. 桥本甲状腺炎患者原发性头痛的发生频率及相关因素分析。
IF 0.6 Q3 Medicine Pub Date : 2022-10-01 DOI: 10.14744/agri.2021.04874
Rabia Gökçen Gözübatik Çelik, Derya Uludüz Ulu, Esra Hatipoğlu, Yalçın Hacıoğlu, Bengi Gül Alparslan Türk, Mehmet Ali Sungur, Baki Göksan, Sabahattin Saip, Aksel Siva

Objectives: The purpose of this study was to evaluate the incidence of primary headache and potential biomarkers in patients diagnosed with Hashimoto thyroiditis.

Methods: Patients with Hashimoto thyroiditis referred to the outpatient endocrinology clinic were included in the study. The demographic data, thyroid function test results, and autoantibody titers were recorded. The headache's clinical characteristics were also determined. The same researcher used the visual analog scale for headache severity rating in all patients.

Results: 155 patients with Hashimoto thyroiditis were included the study. There were 95 (61.3%) cases diagnosed with headache consisting of 20 (21.1%) migraine cases, 17 (17.9%) tension type headaches (TTHs), and 20 (21.1%) new daily persistent headaches (NDPHs). 38 of 155 (24.5%) had hypothyroidism related headaches (HRHs). There was no statistically significant relationship between the headache type and a high blood antibody level anti thyroid peroxidase antibody (p=0.135), while a positive correlation was found with thyroid stimulating hormone (TSH) (p<0.001). Hashimoto patients with migraine (n=14, 70.0%) were found to have higher blood antibody levels, while these ratios were found as 86.8% (n=33) in HRH-patients, 76.5% (n=13) in TTH-patients, and 60.0% (n=12) in NDPH-patients. 86 of 155 (55.5%) patients reported new onset headaches after a Hashimoto's thyroiditis diagnosis, and the headaches persisted without hormone therapy in 48 (84.2%) of these patients. These patients diagnosed with primary headache and this was interpreted as demonstrating comorbidity between Hashimoto's disease and primary headaches.

Conclusion: Detection of only the relationship between TSH level and headache suggested that different mechanisms play a role in the pathophysiology. In the diagnosis of primary headache, it is important to look into secondary reasons.

目的:本研究的目的是评估桥本甲状腺炎患者原发性头痛的发生率和潜在的生物标志物。方法:将门诊内分泌科就诊的桥本甲状腺炎患者纳入研究。记录人口统计学数据、甲状腺功能测试结果和自身抗体滴度。确定头痛的临床特征。同一位研究人员对所有患者的头痛严重程度进行了视觉模拟评分。结果:155例桥本甲状腺炎患者纳入研究。确诊头痛95例(61.3%),其中偏头痛20例(21.1%),紧张性头痛17例(17.9%),新发持续性头痛20例(21.1%)。155例患者中有38例(24.5%)患有甲状腺功能减退相关头痛(HRHs)。头痛类型与血中抗甲状腺过氧化物酶抗体水平高无统计学意义(p=0.135),而与促甲状腺激素(TSH)呈正相关(p结论:仅检测TSH水平与头痛的关系提示其病理生理机制不同。在原发性头痛的诊断中,次要原因的调查是很重要的。
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引用次数: 0
Investigation of antinociceptive effects of vitamin D and EB1089 in rats. 维生素D和EB1089对大鼠抗伤感受作用的研究。
IF 0.6 Q3 Medicine Pub Date : 2022-10-01 DOI: 10.14744/agri.2022.60590
Seda Gündüz Başçıl, Asuman Gölgeli

Objectives: The aim of this study is to investigate the effect of vitamin D on pain threshold in rats. In addition, to examine, whether EB1089, which is a vitamin D receptor agonist, can contribute to this mechanism by increasing the effects of the receptor.

Methods: In the study, 24 male Wistar Albino rats of 3 months, an average of 240-260 g, were used. The animals were randomly divided into three groups, eight animals in each group. Groups; control, vitamin D (10 µg/kg), and EB1089 (10 µg/kg). Tail flick and hot plate tests were used to evaluate the antinociceptive effect. Measurements were taken at 0 min before drug administration and at 30, 60, and 90 min after drug administration and times were recorded in seconds. Serotonin levels were also analyzed by ELISA method in plasma obtained from intracardiac blood samples taken at the end of the experiment.

Results: Vitamin D and EB1089 significantly increased the time to endure pain in the tail flick test compared to the control group (p<0.05). In the hot plate test, EB1089 group significantly extended the pain threshold compared to the control group (p<0.05), while the vitamin D group did not create a significant difference, although it had a higher latency than the control group (p>0.05). There was no significant difference between the groups in terms of serotonin levels (p>0.05).

Conclusion: As a result of our study, the administration of vitamin D and EB1089 increased the pain threshold in animals and increased pain resistance.

目的:探讨维生素D对大鼠痛阈的影响。此外,为了检验EB1089作为一种维生素D受体激动剂,是否可以通过增加受体的作用来促进这一机制。方法:选取3月龄雄性Wistar Albino大鼠24只,平均240 ~ 260 g。这些动物被随机分为三组,每组8只。组织;对照组,维生素D(10µg/kg)和EB1089(10µg/kg)。采用甩尾实验和热板实验评价其抗伤感受作用。分别于给药前0分钟和给药后30、60、90分钟测量,时间以秒为单位记录。实验结束时取心内血标本,用ELISA法分析血浆血清素水平。结果:与对照组相比,维生素D和EB1089显著增加了甩尾试验的疼痛忍受时间(p0.05)。两组血清素水平差异无统计学意义(p>0.05)。结论:我们的研究结果表明,维生素D和EB1089增加了动物的疼痛阈值,增加了疼痛抵抗。
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引用次数: 1
Evaluation of the effectiveness duration of peripheral blocks applied with high concentration local anesthetic and steroid in trigeminal neuralgia. 高浓度局麻加类固醇外周阻滞治疗三叉神经痛的疗效评价。
IF 0.6 Q3 Medicine Pub Date : 2022-10-01 DOI: 10.14744/agri.2021.77854
Esra Ertilav, Osman Nuri Aydın

Objectives: The aim of this study was to investigate the effectiveness duration of the peripheral blocks applied with high concentration local anesthetic and steroid in trigeminal neuralgia.

Methods: The data of 48 patients (nine patients received medical treatment and 39 patients underwent interventional procedure for peripheral block and Gasser ganglion radiofrequency thermocoagulation [RFT]) were analyzed retrospectively. The medications used by patients, pre-operative and post-operative visual analog scale scores who underwent interventional procedures, and duration for effectiveness of the procedure were evaluated with 36 months follow-up.

Results: Forty-eight patients (32 females and 16 males) who were treated with primary and secondary etiologies were evaluated. Three patients V1, 12 patients V2, 25 patients V3, and eight patients V2+V3 trigeminal nerve branches described appropriate clinical symptoms. Only peripheral block was applied to 31 patients and Gasser ganglion RFT was applied to eight patients after peripheral block. In 24 patients who underwent peripheral block, pain severity reduction was ≥50%, mean effectiveness duration of peripheral block was 7.5 months. The eight patients undergoing Gasser ganglion RFT had ≥50% pain intensity reduction, mean effectiveness duration of Gasser ganglion RFT was 22.7 months (p=0.002). While one patient had hypoesthesia in the palate after RFT, no serious side effects were recorded.

Conclusion: The duration of pain control for peripheral branch blocks in trigeminal neuralgia is not as long as RFT, but it is a relatively less invasive and less complicated interventional technique with good efficacy duration due to neurotoxicity of the used high concentrated local anesthetic.

目的:本研究的目的是探讨外周阻滞应用高浓度局麻和类固醇治疗三叉神经痛的有效性持续时间。方法:回顾性分析48例患者(内科治疗9例,外周阻滞及Gasser神经节射频热凝介入治疗39例)的资料。在36个月的随访中,评估患者使用的药物、术前和术后视觉模拟量表评分以及手术的有效性持续时间。结果:48例患者(32名女性,16名男性)接受了原发性和继发性病因的治疗。三叉神经V1分支3例,V2分支12例,V3分支25例,V2+V3分支8例。31例患者仅行外周阻滞,8例患者外周阻滞后行Gasser神经节RFT。24例接受外周阻滞的患者,疼痛严重程度减轻≥50%,外周阻滞的平均有效时间为7.5个月。8例患者接受Gasser神经节RFT后疼痛强度减轻≥50%,平均有效时间为22.7个月(p=0.002)。虽然一例患者在RFT后出现上颚感觉减退,但没有严重的副作用记录。结论:三叉神经痛外周支阻滞的镇痛时间虽不如RFT长,但由于所使用的高浓度局麻药具有神经毒性,是一种侵入性相对较小、复杂性较低的介入技术,且疗效持续时间较好。
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引用次数: 0
期刊
Agri-The Journal of the Turkish Society of Algology
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