A. YEKTAŞ, F. GÜMÜŞ, K. ERKALP, A. ALAGÖL

Pregabalinin lomber interlaminar epidural kortikosteroid enjeksiyonu uygulaması sonrası vizüel analog skala değerlerine etkisi

Amaç: İnterlaminar lomber epidural kortikosteroid enjeksiyonu (İLEKE) bel ağrısında kullanılan minimal invaziv bir tedavi yöntemidir. Bu çalışmada radikülopatisi olan disk hernili hastalarda İLEKE uygulamasında pregabalinin VAS değerlerine etkisini incelemeyi amaçladık. Gereç ve Yöntem: Polikliniğimize başvuran ve İLEKE uygulanan 100 hastaya ait kayıtların retrospektif olarak incelenerek hastaların pregabalin alan Grup P ve almayan Grup Z olarak iki gruba ayrılmasıyla gerçekleştirildi. Vizüel analog skala (VAS) değerleri 1. hafta, 1-6. ay ve 1. yıl da değerlendirildi. Bulgular: Grup P ve Grup Z de başlangıç VAS değerlerine göre 1. hafta, 1-6. ay ve 1. yılda VAS değerleri istatistiksel olarak anlamlı düşüktü. Grup P ile Grup Z karşılaştırıldığında 1- 6. ay ve 1. yıl VAS değerleri Grup P de istatistiksel olarak anlamlı düşüktü. Grup P de işlem sonrası hasta memnuniyeti Grup Z ye göre istatistiksel olarak anlamlı yüksekti. Sonuç: Pregabalin, İLEKE uygulanan radikülopatili hastalarda VAS değerlerini uzun dönemde de anlamlı olarak düşürmekte, İLEKE uygulama sayısını azaltmakta ve işlem sonrası hasta memnuniyetini arttırmaktadır.

Pregabaline effect on visual analog scale values after lumbar inter-laminar epidural corticosteroid injection

Aim: Inter-laminar lumbar epidural corticosteroid injection (ILECI) is a minimally invasive treatment method that is used in low-back pain. In this study, we aimed at investigating the effect of pregabalin administration on VAS values in patients with radiculopathy who have a disk hernia following administration of ILECI. Materials and Methods: The records pertaining to 100 patients who presented to our outpatient clinic were retrospectively examined; the patients were divided into two groups: Group P, the patients who received pregabalin and Group Z, the patients who did not receive pregabalin. The visual analogue scale (VAS) scores were assessed in week 1, months 1-6 and year 1. Results: The VAS scores of Group P and Group Z in week 1, months 1-6 and year 1 were lower than the baseline VAS scores at a statistically significant level. Based on a comparison between Group P and Group Z, it was seen that the VAS scores in months 1-6 and year 1 were lower for Group P at a statistically significant level. The post- administration patient satisfaction in Group P was higher than Group Z at a statistically significant level. Conclusion: Pregabalin significantly reduces the VAS scores in patients with radiculopathy who have received ILECI, it also decreases the frequency of ILECI administration and increases post-administration patient satisfaction.

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