Bilge KESİKBURUN, Aytül ÇAKCI, Emel EKŞİOĞLU, Nuray GÜLGÖNÜL

Fibromiyaljili Kadınlarda Akupunkturun Ağrı, Yaşam Kalitesi ve Depresyon Üzerine Etkisi

Amaç: Fibromiyalji Sendromu (FMS) kronik yaygın kas iskelet sistemi ağrısı ile karakterize; yorgunluk,depresyon, uyku bozukluğu, anksiyete gibi semptomların sıklıkla eşlik ettiği multisistemik birhastalıktır. Bu çalışmanın amacı FMS’li kadınlarda akupunkturun standart tedaviye ek olarak ağrıdüzeyi, yaşam kalitesi ve depresyon üzerine etkisini araştırmaktı.Materyal ve Metot: Prospektif kontrollü çalışmaya, 18‐65 yaş aralığında ACR kriterlerine göre FMStanısı alan (55 kadın; ortalama yaş 40,65 yıl; ortalama hastalık süresi 2,69/yıl), 55 kadın hasta dahiledildi. Hastalar akupunktur grubu ve kontrol grubu olarak ikiye ayrıldı. Her iki grup da halihazırdakullandıkları medikal tedaviye devam ettiler. Akupunktur grubuna kullandıkları tedaviye ek olarakhaftada 1 seans, 20 dk süre ile 10 hafta akupunktur tedavisi uygulandı (toplam 10 seans). Her iki grubuntedavi öncesi ve sonrası ağrı şiddeti VAS (Vizüel Analog Skala), depresyon düzeyi Beck DepresyonÖlçeği (BDÖ), yaşam kalitesi ise Fibromiyalji Etki Anketi (FEA) ile değerlendirilerek kaydedildi.Bulgular: Sonuç ölçütlerinde zamanla ortaya çıkan farkın gruplar arası karşılaştırmasında VAS, FEA vehassas nokta sayısı değerlendirmelerinde akupunktur grubunda görülen iyileşme kontrol grubuna göredaha yüksek saptanmıştır (sırasıyla p=0,001, p=0,017, p=0,016). BDÖ’de zamanla ortaya çıkan değişim heriki grup arasında anlamlı fark göstermedi (p=0.076).Sonuç: Çalışma akupunkturun FMS’li kadınlarda ağrı, hassas nokta sayısı ve yaşam kalitesi üzerineolumlu sonuçları olduğunu göstermiştir. Akupunktur, ilaç tedavisine ek olarak FMS semptomlarınıazaltmaya katkı sağlamak için FMS tedavisinde tercih edilebilir.

The Effect of Acupuncture on Pain, Quality of Life and Depression in Women with Fibromyalgia

Objectives: Fibromyalgia Syndrome (FMS) is a multisystem disease characterized by chronic diffused musculoskeletal pain, accompanied by symptoms such as fatigue, depression, sleep disorder, and anxiety. The aim of the study is to evaluate the effect of acupuncture on pain, depression and quality of life in women with FMS in addition to the standard treatment. Materials and Methods: 55 women patients aging between 18‐65 years and diagnosed as having FMS according to ACR criteria (55 female; mean age 40.65/years, mean disease duration 2.69/ years) were included in this prospective controlled study. The patients were assigned to either acupuncture or control group. Both groups continued their ongoing medical treatment. The acupuncture group received acupuncture treatment 1 session/week, each session lasted 20 minutes for 10 weeks in addition to their current medical treatment (a total of 10 sessions). The outcome measures were pain intensity with Visual Analogic Scale (VAS), quality of life with Fibromyalgia Impact Questionnaire (FIQ), depression level with Beck Depression scale (BDI) at baseline and after the treatment. Results: Comparison of the difference over time between the groups revealed that improvement in VAS, FIQ and count of tender points was significantly higher in the acupuncture group compared to the control group (p=0.001, p=0.017, p=0.016, respectively). The difference in BDI over time did not show any significant difference between the groups (p=0.076). Conclusion: The study showed that acupuncture had positive results on pain, quality of life and tender points in women with FMS. In addition to medical treatment, acupuncture may be preferred to contribute for decreasing FMS symptoms.

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