SİNEM SARI ÖZTÜRK, OSMAN NURİ AYDIN, Gülsüm GÜLESER, İMRAN KURT ÖMÜRLÜ, Alparslan TURAN

Effect of transforaminal anterior epidural steroid injection on neuropathic pain, quality of sleep and life

Amaç: Bu çalışmada bel ağrısı dolayısı ile transforaminal anterior epidural steroid injeksiyonu (TAESİ) uygulanan hastalarda yapılan girişimin, yaşam, uyku kalitesi ve nöropatik ağrı üzerine üzerine etkilerinin araştırılması amaçlanmıştır. Gereç ve Yöntem: Çalışmamıza Adnan Menderes Üniversitesi Tıp Fakültesi Etik Kurul izni ve hasta onamı alındıktan sonra Ekim 2011- Ekim 2012 tarihleri arasında Algoloji Bilim Dalı Polikliniğine bel ağrısı şikayeti ile başvuran ve transforaminal anterior epidural steroid enjeksiyonu yapılmış hastalar dahil edildi. İşlem öncesi ve sonrası hastalara Pittsburgh Uyku Kalitesi Ölçeği (PSQI), Kısa form 12 (SF 12) ve DN4 testi uygulandı ve Visual Analog Skala (VAS) Skoru bakıldı. Bulgular: Çalışmaya 102 (Kadın/Erkek: 52/50) hasta dâhil edildi. Hastaların yaş ortalaması 53.29±1.39 idi. Seksen yedi hasta lomber disk hernisi, yedi hasta spinalstenoz, sekiz hastanın başarısız bel cerrahisi tanısı mevcuttu. Hastaların VAS, DN4 ve PSQI toplam değerle- rinde istatistiksel olarak anlamlı düzelme görüldü (p=0.0001). Uyku kalitesi ölçeğinin uyku süresi (p=0.0001) ve alışılmış uyku etkinliği (p=0.0001) alt komponentlerinde çok anlamlı olmak üzere, subjektif uyku kalitesi (p=0.003), uykuya dalma süresi (p=0.014), uyku bozuklukları (p

Transforaminal anterior epidural steroid enjeksiyonunun nöropatik ağrı, uyku ve yaşam kalitesi üzerine etkisi

Objectives: Transforaminal anterior steroid injections are frequently used for low back pain. In the current study, It was aimed to investigate the efects of transforaminal anterior epidural steroid injection (TAESI) in patients with low back pain in regards to qual- ity of life and sleep, and neuropathic pain . Methods: Ethics committee approval and patient consent were obtained. Patients with low back pain scheduled to receive transfo- raminal epidural steroid injections between October 2011 and October 2012 were included into the study. Pittsburgh Sleep Quality Index (PSQI), Short form 12 (SF 12), DN4 tests and Visual Analog Scale Score (VAS) were measured prior to procedure and three months later. All the tests were compared with baseline evaluations prior to injections. Results: One hundred and two (female/male: 52/50) patients with a mean age of 53.3±1.4 were included. Primary diagnoses were lumbar disc herniation in eighty-seven patients, spinal stenosis in seven and failed back surgery syndrome in eight patients. Statisti- cally signifcant improvement was seen in the total VAS, DN4 and PSQI scores (p=0.0001) of the patients at the third month fol- low-up. Sleep duration (p=0.0001), habitual sleep efciency (p=0.0001), subjective sleep quality (p=0.003), sleep latency (p=0.014), sleep disturbances (p<0.001), sleep medication use (p=0.003), and day time dysfunction (p=0.015) showed a signifcant decrease in sub-components. Tere was no signifcant diference in SF 12 quality of life. Conclusion: It was determined in the study that transforaminal epidural steroid injection provided a substantial improvement in patients pain and neuropathic pain and quality of sleep, but had no efect on the quality of life.

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