Evaluation of Patients With Low Back Pain

Yıl 2020, , 659 - 664, 09.11.2020

Merih Özgen

https://doi.org/10.20515/otd.546836

Cited By: 3

Öz

One of the most common
complaints in clinics is low back pain. These pain is usually caused by
mechanical disorders. The aim of this study is to determine the prevalence of
patients with low back pain and to evaluate the distribution and treatment of mechanical
/ inflammatory back pain. Patients who applied to our outpatient clinic with
low back pain between Ocak 2016-Aralık 2017 were screened retrospectively. The
demographic and clinical information of the patients were obtained from the
file records. In our polyclinic, 1398 (7.5%) patients presented with low back
pain. Inflamatuar back pain was seen 67 (4.79%) of the patients and mechanical
back pain was seen 1331 (95.27%) of the patients. The mean age of the
mechanical back pain patients was 50.2 ± 16.09 and 41.8 ± 11.1 of the
inflammatory back pain patients. All the patients who presented to polyclinic,
841 (60.1%) were female and 557 (39.8%) were male. Patients who had mechanical
back pain, 829 (62.3%) were female and 502 (37.7%) were male; patients who had
inflamatuar back pain, 12 (17.9%) were female and 55 (82.1%) were male .Acute /
subacute and chronic low back pain rates respectevely 136 (10.2%) and 1195
(89.9%). Because of the neuropathic pain presence, 138 (10.4%) of the patients
were receiving pregabalin /gabapentin treatment. Low back pain is common in the
community. Although acute low back pain is more common, tertiary health care
institutions mostly are got application by patients with chronic low back pain.
Low back pain causes loss of  life
quality and labor. Therefore, it was concluded that differential diagnosis,
planning of treatment and taking protective measures are important.

Anahtar Kelimeler

low back pain

Bel Ağrılı Hastalarımızın Değerlendirilmesi

Öz

Bel ağrısı toplumda en sık poliklinik
başvuru nedenlerinden birisidir. Bel ağrılarının büyük kısmını mekanik bel
ağrıları oluşturur. Çalışmamızın amacı; kliniğimize bel ağrısı nedeniyle
başvuran hastaların sıklığının, mekanik/inflamatuvar bel ağrısı yönünden
dağılımının ve tedavi yaklaşımının değerlendirilmesidir. Polikliniğimize
2016-2017 yılları arasında bel ağrısı nedeniyle başvuran hastalar geriye dönük
tarandı. Hastaların demografik ve klinik bilgileri dosya kayıtlarından elde
edildi. Polikliniğimize 1398 (%7.5) hastanın bel ağrısı nedeniyle başvurduğu,
hastaların 67 (%4.79)’sinde inflamatuvar bel ağrısı, 1331 (%95.27)’inde mekanik
bel ağrısı olduğu saptandı. Hastaların yaş ortalaması mekanik bel ağrısı grubunda
50.2 ± 16.09, inflamatuvar bel ağrısı grubunda 41.8 ± 11.1’di. Hastaların
841(%60.1)’i kadın, 557 (%39.8)’si erkekti. Mekanik bel ağrısı olanların 829
(%62.3)’u kadın ve 502 (%37.7)’si erkek, inflamatuvar bel ağrısı olanların 12
(%17.9)’si kadın ve 55 (%82.1)’ü erkekti. Hastaların 136 (%10.2)’sı
akut/subakut,  1195 (%89,9)’i kronik bel
ağrısına sahipti. Nöropatik ağrı varlığı nedeniyle hastaların 138 (%10.4)’i
tedavi alıyordu. Bel ağrıları toplumda sık görülür. Bel ağrısı nedenlerinin
büyük kısmını mekanik bel ağrıları oluşturur. Üçüncü basamak sağlık
kuruluşlarına kronik bel ağrılı hastalar daha fazla başvurur. Bel ağrısı yaşam
kalitesi ve iş gücü kaybına neden olur. Bu nedenle ayrıcı tanısının yapılması, tedavisinin
planlanmasının ve koruyucu önlemlerinin alınmasının önemli olduğu sonucuna
varılmıştır.

Anahtar Kelimeler

bel ağrısı, sıklık

Kaynakça

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