Başak GÖKSEL KARAKUM, ÖZLEM COŞKUN, Serap ÜÇLER, Mehmet KARATAŞ, Aynur ÖZGE, SEÇİL ÖZKAN

Use of complementary and alternative medicine by a sample of Turkish primary headache patients

Amaç: Tamamlayıcı ve alternatif tıp yöntemleri (TAT), primer baş ağrısı tedavisi için pek çok ülkede kullanılmaktadır. Türk popülasyonunda, primer baş ağrılarında TAT yöntemlerinin bilinirliği, kullanımı ve yararına yönelik epidemiyolojik veri bulunma- maktadır. Gereç ve Yöntem: Üç baş ağrısı merkezine başvuran 110 primer baş ağrılı olguya baş ağrısında kullanılan TAT yöntemlerinin bilinirliği, kullanımı ve yararlanılmasına ilişkin sorular içeren formlar verilerek yanıtlanması istendi. Bulgular: Hastaların yaş ortalaması 34.7±9.6 (32.8-36.5) idi. Hastaların 2/3ü yüksek okul veya üniversite mezunu, 1/3ü ise ev hanımıydı. Olgularda en sık aurasız migren (%45.5), daha az sıklıkla auralı migren (%19.1) ve gerilim tipi baş ağrısı (%18.2) saptandı. Hastaların %43.6sında baş ağrısı sıklığı 5-10/ay bulunmuştur. En sık bilinen modaliteler sırasıyla masaj (%74.5), aku- punktur (%44.5), yoga (%31.8), egzersiz (%28.2), psikoterapi (%25.5) ve biberiye kullanımı (%23.6) idi. En sık kullanılan TAT yöntemi masaj (%51) ve egzersiz (%11) olarak saptandı. Bununla beraber olguların 1/3ü masajdan fayda gördüğünü belirtti. Sonuç: Bizim verilerimiz primer baş ağrılı Türk hastaların, standart tedavilere ek olarak alternatif tedavi arayışları olduğunu ve bu tedavilerden en azından birkaçını kullandıklarını göstermiştir. Nörologların bu konuda bilgilerini artırmaları yanında, bu konuda yapılacak büyük grupları içeren randomize çalışmalara ihtiyaç duymaktadır.

Primer baş ağrısı olan Türk hastalarda tamamlayıcı ve alternatif tedavi yöntemlerinin kullanımı

Objective: Complementary and alternative medicine (CAM) is increasingly being used as adjunctive treatment in primary headache syndromes in many countries. In the Turkish population, no epidemiologic data have been reported about aware- ness and usage of these treatments in patients with headache. Methods: One hundred and ten primary headache patients attending three headache clinics completed a questionnaire re- garding their headaches, the known modalities and the use and effect of CAM procedures for their headaches. Results: The mean age of the patients was 34.7±9.6 years (32.8-36.5). Almost two-thirds of patients had completed high school and university, and one-third of patients were housewives. Migraine without aura (45.5%) was the most frequently diagnosed type of headache followed by migraine with aura (19.1%) and tension-type headache (18.2%). In 43.6% of the patients, headache frequency was 5-10 per month. The most frequently known CAM modalities were massage (74.5%), acupuncture (44.5%), yoga (31.8%), exercise (28.2%), psychotherapy (25.5%), and rosemary (23.6%). The most frequently used CAM treatments were massage (51%) and exercise (11%). Only massage was reported to be beneficial in one-third of the primary headache patients; the other modalities were not. Conclusion: Our findings suggest that the subgroup of primary headache patients in Turkey seek and use alternative treat- ments, frequently in combination with standard treatments. Neurologists should become more knowledgeable regarding CAM therapies; further randomized and controlled clinical researches with large sample sizes are needed.

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