İbrahim AYDIN, Davut BALTACI, Serdar TÜRKYILMAZ, Mustafa ÖNCÜ

Siklik Mastaljili Hastaların Tedavisinde Vitex Agnus Castus Preperatının Meloksikam Ve Plasebo İle Karşılaştırılması

Giriş: Mastalji meme ağrısı olup klinik olarak siklik ve siklik olmayan şeklinde sınıflandırılır.Siklik mastalji mastaljilerin yaklaşık %60’ını kapsar. Siklik mastaljiler en sık 20 ve 30 yaşlardagörülür ve genellikle tedaviye iyi cevap verir.Amaç: Vastus Agnus Castus preparasyonunun (VAC) mastalgi ve hiperprolaktinemi üzerineolan etkinliğinin araştırılması amaçlandı.Metot: Araştırma prospektif ve palsebo kontrollü klinik çalışma olarak yapıldı. Hastalar gruplaraayrılmadan önce her hastadan prolaktin seviyesine bakıldı. Hastalar gruplara ayrıldıktan sonraher hastaya tedavi öncesi VAS uygulandı. Grub 1 siklik mastaljisi ve hiperprolaktinemisi olanhastalardan oluştu. Bu hastalara VAC (agnucaston) başlandı. Grup 2 siklik mastaljisi ve normalprolaktin seviyesi olan ve meloksikam 15 mg/gün başlanan hastalardan oluşmuştur. Placebogrubu mastaljisi olan ve prolaktin seviyesi normal olan hastalardan oluştu. 3 aylık tedavi sonrasıher hastaya VAS ve grup 1 için prolactin seviyesine bakıldı.Sonuçlar: Toplam 19–54 yaş arası 95 hastanın analizi yapıldı. VAC alan grupta mastaljininyoğunluğu plasebo grubundan anlamlı ölçüde azaldığı gözlendi (p

Anahtar Kelimeler:

Mastalji, vitex agnus castus, prolaktin

Comparison of Vitex Agnus Castus with Meloxicam and Placebo in Treatment of Patients with Cyclical Mastalgia

Background: Mastalgia is classified as cyclic and non-cyclic. Cyclical one constitutesapproximately 60-70% of mastalgia. It is seen between 2 to 3 decades of age, and it usuallyresponds to treatment.Objectives: To compare efficacy of vitex agnus castus (VAC) preparation with meloxicam andplacebo in treatment of mastalgia.Methods: The study was designed as prospective and placebo-controlled clinical trial. Threegroups were constituted. Before grouping, prolactin level was tested for every patient. Thegroup1 enrolled the patients with cyclical mastalgia and high level prolactin. VAC wasadministered to patients from study group1. The second group enrolled the patients with cyclicalmastalgia along with normal prolactin level, and to which meloxicam was given. Third groupwas placebo group, and placebo was applied. Before treatment, VAS (Visual analogue scale)scoring was applied to every patient. Prolactin level was tested for patients from group 1. After3 months of study, VAS scoring was applied to every patient, but only prolactin levels were reevaluated in patients from group1.Results: 95 patients were analyzed; enrolling women aged 19 to 54 years. Intensity of mastalgiadiminished in VAC group 1, 2 more than in placebo group (p

Keywords:

Mastalgia, vitex agnus castus, prolactin,

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