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Kompleks Bölgesel Ağrı Sendromu ve Steroid Tedavisi

Yıl 2018, Cilt: 1 Sayı: 2, 77 - 82, 10.09.2018
https://doi.org/10.33713/egetbd.440172

Öz

Kompleks
bölgesel ağrı sendromu (KBAS), klinik bulgularının günlük yaşam aktivitelerinde
kısıtlılığa neden olduğu, etkilenenen ekstremitede ağrı, distrofik ve sempatik
değişimlerin gözlendiği bir hastalıktır. Hastalığın tedavisindeki en önemli
basamak erken tanıdır. Tedavide ise multimodal yaklaşım tercih edilirken, bu
doğrultuda farmakolojik birçok ajan kullanılmakta ve bunlardan steroid,
antiinflamatuvar ve analjezik etkisi ile önemli bir yer tutmaktadır. Steroid
tedavisi ile ilgili yapılan birçok çalışma mevcutken, ilacın kullanım şekli,
miktarı ile ilgili bir standart oluşturulmamıştır. Bizim bu derlemede amacımız,
KBAS' da steroid tedavisinin etkinliği ve güvenilirliği ile ilgili çalışmaları
göstermekti.

Kaynakça

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  • Referans3 Shehab D, Elgazzar A, Collier BD, Naddaf S, Al-Jarallah K, Omar A, Al-Mutairy M: Impact of three-phase bone scintigraphy on the diagnosis and treatment of complex regional pain syndrome type I or reflex sympathetic dystrophy. Medical Principles and Practice 2006, 15:46-51.
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  • Referans9 Varitimidis SE, Papatheodorou LK, Dailiana ZH, Poultsides L, Malizos KN: Complex regional pain syndrome type I as a consequence of trauma or surgery to upper extremity: management with intravenous regional anaesthesia, using lidocaine and methyloprednisolone. J Hand Surg Eur Vol 2011, 36:771-7.
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  • Referans14 Munts AG, van der Plas AA, Ferrari MD, Teepe-Twiss IM, Marinus J, van Hilten JJ: Efficacy and safety of a single intrathecal methylprednisolone bolus in chronic complex regional pain syndrome. Eur J Pain 2010, 14:523-8.
  • Referans15 Schinkel C, Gaertner A, Zaspel J, Zedler S, Faist E, Schuermann M: Inflammatory mediators are altered in the acute phase of posttraumatic complex regional pain syndrome. Clin J Pain 2006, 22:235-9.
  • Referans16 Klega A, Eberle T, Buchholz HG, Maus S, Maihofner C, Schreckenberger M, Birklein F: Central opioidergic neurotransmission in complex regional pain syndrome. Neurology 2010, 75:129-36.
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Toplam 22 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Klinik Tıp Bilimleri
Bölüm Derleme
Yazarlar

Emel Güler

Yayımlanma Tarihi 10 Eylül 2018
Kabul Tarihi 9 Ağustos 2018
Yayımlandığı Sayı Yıl 2018 Cilt: 1 Sayı: 2

Kaynak Göster

EndNote Güler E (01 Eylül 2018) Kompleks Bölgesel Ağrı Sendromu ve Steroid Tedavisi. Ege Tıp Bilimleri Dergisi 1 2 77–82.

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