Karpal tünel sendromu tedavisinde steroid enjeksiyonun uyku hijyeni üzerindeki etkisi

Amaç: Carpal tunnel syndrome (CTS) is the most seen entrapment neuropathy. CTS is a complex syndrome arisen with entrapment of median nerve at wrist. Pain worst at night, paresthesia, hypoesthesia, paralysis, and muscle atrophy can be seenthrough nerve entrapment level. Besides, we see negative symptoms for sleep in our practice. It is known the effect of invasiveand non-invasive treatments on the sleep. We aimed to search the effect of treatment of CTS on the sleep modalities.Gereç ve Yöntem: In our study, the effect of injection treatment of CTS patients diagnosed clinically with electrophysiological methods in neurology clinic, on sleep modalities. After excluding the secondary reasons of CTS; patients responded tovisual analog scale (VAS), symptom, and functional scales of Boston questionnaire (BQ-FS), Leeds Assessment of NeuropathicSymptoms and Signs, Pittsburg sleep quality index (PSQI), insomnia severity index (ISI), sleep hygiene index (SHI), Epworthsleepiness scale, Beck depression scale, and Beck anxiety scale.Bulgular: Twenty-nine patients (2 males and 27 females) were enrolled. After treatment, VAS, BQ-FS, LANNS, PSQI, ISI, and SHIboth resulted in a significant reduction.Sonuç: Sleep hygiene is affected negatively in CTS patients. A healing effect is observed on the quality of sleep impaired bythe injection treatment of CTS.

The effect of steroid injection treatment with carpal tunnel syndrome on sleep hygiene

Objectives: Karpal tünel sendromu (KTS) en sık karşılaşılan tuzak nöropatisidir. Bilek bölgesinde median sinirin sıkışması ile oluşan kompleks bir sendromdur. Tuzak nöropati derecesine göre geceleri artan ağrı, parestezi, hipoestezi, parezi ve kas atrofisi gibi semptomlar gözlenebilir. Ayrıca klinik pratiğimizde bu sendromun uyku üzerinde de olumsuz etkilerini görmekteyiz. Genel olarak uygulanan noninvaziv ya da invaziv tedavilerin uyku üzerindeki etkileri bilinmektedir. Bu çalışmada KTS tedavisinin uyku üzerindeki etkisini araştırmak hedeflendi. Methods: Çalışmamızda nöroloji polikliniğinde klinik ve elektrofizyolojik olarak KTS tanısı alan hastaların bilek kanalı enjeksiyon tedavisi ile uyku üzerindeki olası etkileri değerlendirildi. KTS tanısı alıp olası sekonder nedenler dışlandıktan sonra bilek kanalı enjeksiyon tedavisini kabul eden tüm bireylere tedavi öncesi ve sonrasında Görsel Analog Skala (VAS), Boston Karpal Tünel Sendromu Anketi, LANNS ağrı skalası (Leeds Asseessment of Neuropathic Symptoms and Signs), Pittsburg Uyku Kalite İndeksi (PUKİ), Uykusuzluk Şiddet İndeksi (IŞİ), Uyku Hijyeni İndeksi (UHİ), Epworth Uykululuk Skalası, Beck Depresyon Skalası, Beck Anksiyete Skalası uygulandı. Results: Çalışmaya 29 hasta (2 erkek 27 kadın) alındı. Tedavi sonrasında bireylerde VAS, FDS, Boston, LANNS değerleri ile birlikte PUKİ, ISI, UHİ de istatistiksel olarak anlamlı derecede düşme gözlendi. Conclusion: KTS hastalarında uyku hijyeni olumsuz yönde etkilenmekte ve bilek kanalı enjeksiyon tedavisi ile bozulan uyku kalitesi üzerinde iyileştirici etki gözlenmektedir

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