High frequency transcutaneous electrical nerve stimulation treatment in patients with generalized pruritus
Amaç: Kaşıntı birçok deri ve sistemik hastalıklar ile generalize prüritisde majör bir semptomdur. Generalize prüritis dermatolojik bozukluklar arasında etyolojisi bilinmeyen, genellikle farmakolojik ve diğer konvansiyonel tedavilere cevap vermeyen sıkıntılı bir hastalıktır.Bu çalışmada, generalize prüritisi olan 15 hastada, transkutanöz elektrik sinir stimulasyonunun (TENS) kısa dönem etkilerini 3 hafta boyunca değerlendirdik. Gereç ve YöntenvTüm hastalar günde bir defa, bir saat süreyle bir transkutanöz sinir stimulasyon cihazı ile tedavi edildiler. Hastalardan TENS tedavisi sonrası 1. 2. 3. ve 4. hafta görsel analog skorları (GAS) alındı. Bulgular: Hastaların yaş ortalamaları ve standart sapmaları 44.13$pm$15.79 idi. Ortalama hastalık süresi 4.00±4.81 yıldı. Tüm hastalarda 1. haftadan sonra önemli oranda kaşıntıda azalma oldu (p
Generalize prüritisli hastalarda yüksek frekanslı transkutanöz sinir stimulasyonu tedavisi
Purpose: Itching is a major symptom in several systemic and skin diseases and generalized pruritus. Generalized pruritus is a troublesome dermatologtcal disorder with unknown etiology and is usually unresponsive to pharmaceutical and other conventional treatments. In this study, we evaluated the short-term efficacy oftranscutanepus electrical nerve stimulation (TENS) in IS patients with generalized pruritus for a 3-week period. Materials and Methods: All patients were treated by a transcutaneous electrical nerve stimulation device once daily for 1 hour. Scores of the visual analogue scale (VAS) of the patients were obtained 1, 2, 3 and 4 weeks after the TENS treatment. Results: The mean age and standard deviation of the patients was 44.13$pm$15.79 years. The mean duration of the disease was 4.00±4.8J years. A significant reduction of pruritus was obtained in all patients after the first week (p
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- 1. Wikström SO, Svedman P, Svensson H, Tanweer AS. Effect of transcutaneous nerve stimulation on microcirculation in intact skin and blister wounds in healthy volunteers. Scand J Plast Reconstr Hand Surg 1999;33:195-201.
- 2. Cosmo P, Svensson H, Bornmyr S, Wikström SO. Effects of transcutaneous nerve stimulation on the microcirculation in chronic leg ulcers. Scand J Plast Reconstr Hand Surg 2000; 34: 61-64.
- 3. Ekblom A, Hansson P, Fjellner B. The influence of extrasegmental mechanical vibratory stimulation and transcutaneous electrical nerve stimulation on histamine- |nduced itch. Acta Physiol Scand 1985; 125: 541-545.
- 4. Bjorna H, Kaada B. Successful treatment of itching and atopic eczema by transcutaneous nerve stimulation. Acupuncture & Electro-Therapeutics Res Int J 1987; 12: 101-112.
- 5. Önder M, Önder M, Maki S, Gürer MA, Babacan A. Generalize prtiritis tedavisinde transkutanttz elektrik sinir stimulasyonu (TENS). XV. Ulusal Dermatoloji Kongresi Bildiri Kitabi 1994. p. 541-543.
- 6. breaves MW, Wall PD. Pathophysiology and Clinical Aspects of Pruritus. In. Freedberg IM, Eisen AZ, Wolff K, Austen KF, Goldsmith LA, Katz SI, Fitzpatrick PB (eds): Dermatology In General Medicine. 5th ed. New York: Mc Graw-Hill; 1999. p. 487-494.
- 7. Ward L, Wright E, McMahon SB. A comparison of the effect of noxious and innocuous counterstimuli on experimentally induced itch and pain. Pain 1996; 64: 129- 138.
- 8. Nilsson HJ, Levinsson A, Schouenborg J. Cutaneous field stimulation (CFS): a new powerful method to combat fch. Pain 1997; 71: 49-55.
- 9. Melzack R, Wall PD. Pain mechanisms: a new theory. Science 1965; 150: 971-979.
- 10. Monk BE. Transcutaneous electronic nerve stimulation in the treatment of generalized pruritus. Clin Exp Dermatol 1993; 18: 67-68.
- 11. Tang WYM, Chan LY, Lo KK, Wong TW. Evaluation on the antipruritic role of transcutaneous electrical nerve stimulation in the treatment of pruritic dermatosis. Dermatology 1999; 199: 237-241.