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IN NEUROPATHIC PAIN BY DISCOPATHY A NON-PHARMACOLOGIC METHOD: ACUPUNCTURE APPLICATION

Yıl 2020, Cilt: 14 Sayı: 1, 8 - 10, 30.04.2020

Öz

Objective: TAcupuncture is among the safe and effective non-pharmacological methods in individuals with chronic pain. It is an
analgesic method that should be preferred in the first place in patients with chronic pain and suitable patients using multiple drugs.
In this study, we aimed to investigate the effect of acupuncture, which is one of the non-pharmacological treatment methods in
patients with chronic painful discopathy. Patients with chronic pain dyspathy who applied to the GETAT outpatient clinic were
included in the study. Informed consent forms were obtained from the patients. Ten sessions of acupuncture were applied to the
patients. Disposable sterile body and ear acupuncture steel needles were used. (0.25x25mm, 0.22x13mm, 0.22x1.5mm Hua Long)
The average age of the patients participating in the study was 45.90 ± 12.5, the average vitamin D level was 23.94 ± 23.5 ug / l,
the VAS 1 values were 8.06 ± 2.1, the VAS 2 values were 5.88 ± 2.33. No patient had any side effects. A reduction in VAS values
of over 40% has been detected. As a result of systematic reviews and surveys, acupuncture proved to be reliable when performed
by appropriately trained people.
Key words: Acupuncture, neuropathic pain, discopathy.

Kaynakça

  • 1. Lin D, Huang X, Zhuang Wet all(2017). [From Bonghan system to primo vascular system: the thought on the substantial study on meridian points]. Zhongguo Zhen Jiu. Jan 12;37(1):95-101. 2. Shang C.(1989) Singular point organizing center and acupuncture point. Am. J. Chin. Med. 17: 119-127. 3. Bear MF, BW Connorsand MA Paradiso(2007). Chemical control of the brain and behavior. In: M.F. Bear, B. W. Connorsand M.A. Paradiso (eds.) Neuroscience Exploring the Brain.Phladelphia. Lippincott Williams &Wilkins, pp. 481-508. 4. Guyton A.C and JE Hall(2007).Textbook of medical physiology. WB Saunders, Philadelphia, 5. Merskey HM and N Bogduk(1994). Classification of chronic pain. IASP Press, Seattle. 6. Chen Z, Hedner J, Hedner T(1996). Substance P-induced respiratory excitation is blunted by delta-receptor specific opioids in the rat medulla oblongata. Acta Physiol Scand. Jun;157(2):165-73. 7. Pintov S, E Lahat, M Alstein, et all. (1997). Acupuncture and the opioid system: Implications in management of migraine. Pediatr. Neurol. 17: 129-133. 8. Chang FC, HY Tsai, MCYu et all.(2004). The central serotonergic system mediates the analgesic effect of electroacupuncture on Zusanli (ST36) acupoints. J. Biomed. Sci. 11: 179-185. 9. Çevik C. 2016 b Medikal Akupunktur 3.Baskı. Kuban Matbaacılık:162-225. 10. Manchikanti L., Kaye AM, Knezevic NN, et al.Responsible, safe, and effective prescription of opioids for chronic non-cancer pain: American Society of Interventional Pain Physicians (ASIPP) Guidelines Pain Physician, 20 (2017), pp. S3-s92 11. National Academies of Sciences Engineering and MedicinePain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits and Risks of Prescription Opioid Use (2017) The National Academies Press, Washington, DC (2017) https://doi.org/10.17226/24781 12. Singh G, G. Triadafilopoulos Epidemiology of NSAID induced gastrointestinal complications J Rheumatol Suppl, 56 (1999), pp. 18-24 13. Singh G., Ramey DR, Morfeld D, Shi H, Hatoum HT, Fries JF. Gastrointestinal tract complications of nonsteroidal anti-inflammatory drug treatment in rheumatoid arthritis. A prospective observational cohort study.Arch Intern Med, 156 (14) (1996), pp. 1530-1536 14. Singh G. Gastrointestinal complications of prescription and over-thecounter nonsteroidal anti-inflammatory drugs: a view from the Aramis database. Arthritis, Rheumatism, and Aging Medical Information System. Am J Ther, 7 (2) (2000), pp. 115-121 15. Dowell D, Haegerich TM, Chou R.CDC guideline for prescribing opioids for chronic pain – United States, 2016 JAMA, 315 (15) (2016), pp. 1624-1645 16. Bergqvist D.Vascular injuries caused by acupuncture. A systematic review Int Angiol, 32 (1) (2013), pp. 1-8 17. Ernst E, White AR. Prospective studies of the safety of acupuncture: a systematic review Am J Med, 110 (6) (2001), pp. 481-485 18. MacPherson H, Thomas K, Walters S., Fitter M. A prospective survey of adverse events and treatment reactions following 34,000 consultations with professional acupuncturists Acupunct Med, 19 (2) (2001), pp. 93-102 19. MacPherson H, Thomas K. Short term reactions to acupuncture – a crosssectional survey of patient reports Acupunct Med, 23 (3) (2005), pp. 112-120 20. White A. A cumulative review of the range and incidence of significant adverse events associated with acupuncture Acupunct Med, 22 (3) (2004), pp. 122-133 21. Yamashita H, Tsukayama H, White AR, Tanno Y, Sugishita C, Ernst E. Systematic review of adverse events following acupuncture: the Japanese literature Complement Ther Med, 9 (2) (2001), pp. 98-104 22. Zhao L, Zhang F-W, Li Y, et al.Adverse events associated with acupuncture: three multicenter randomized controlled trials of 1968 cases in China Trials, 12 (2011), p. 87 23. Boldt, I. Eriks‐Hoogland, M. Brinkhof, B.R. de, D. Joggi, E.E. VonNon‐ Pharmacological interventions for chronic pain in people with spinal cord injury Cochrane Database Syst Rev (11) (2014) http://dx.doi. org/10.1002/14651858.CD009177.pub2 24. Linde K, Allais G, Brinkhaus B, et al. Acupuncture for the prevention of episodic migraine Cochrane Database Syst Rev, 2016 (6) (2016) Art. No.:CD001218 25. Linde K, Allais G, Brinkhaus B, et al. Acupuncture for the prevention of tension-type headache Cochrane Database Syst Rev, 2016 (4) (2016) Art. No: CD007587 26. MacPherson H, Tilbrook H, Richmond S, et al. Alexander technique lessons or acupuncture sessions for persons with chronic neck pain: a randomized trial.Ann Intern Med, 163 (9) (2015), pp. 653-662.

DİSKOPATİYE BAĞLI NÖROPATİK AĞRIDA NON FARMAKOLOJİK BİR YÖNTEM: AKUPUNKTUR UYGULAMASI

Yıl 2020, Cilt: 14 Sayı: 1, 8 - 10, 30.04.2020

Öz

Akupunktur kronik ağrısı olan bireylerde güvenilir ve etkin non farmakolojik yöntemler arasında yer almaktadır. Kronik ağrılı hastalarda
ve çoklu ilaç kullanan uygun hastalarda ilk sırada tercih edilmesi gereken bir analjezik yöntemidir. Biz bu çalışmada kronik ağrılı
diskopatili hastalarda non farmakolojik tedavi yöntemlerinden akupunkturun etkisini araştırmayı amaçladık. GETAT polikliniğine
başvuran kronik ağrılı diskopati hastaları çalışmaya dahil edildi. Hastalardan aydınlatılmış onam formları alındı. Hastalara 10 seans
akupunktur uygulaması yapıldı. Hastalara tek kullanımlık steril vücut ve kulak akupunktur çelik iğneleri kullanıldı. (0.25x25mm,
0.22x13mm,0.22x1.5mm lik Hua Long) Çalışmaya katılan hastaların yaş ortalamaları 45.90±12.5, D Vitamin düzeyi ortalamaları
23.94±23.5 ug/l, VAS 1 değerleri 8.06±2.1, VAS 2 değerleri 5.88±2.33 idi. Hiç bir hastada yan etki görülmemiştir. VAS değerlerinde
%40’ın üzerinde azalma tespit edilmiştir. Sistematik derleme ve anketlerin sonucunda akupunkturun uygun eğitimli kişiler
tarafından yapıldığında güvenilir olduğunu kanıtlamıştır.

Kaynakça

  • 1. Lin D, Huang X, Zhuang Wet all(2017). [From Bonghan system to primo vascular system: the thought on the substantial study on meridian points]. Zhongguo Zhen Jiu. Jan 12;37(1):95-101. 2. Shang C.(1989) Singular point organizing center and acupuncture point. Am. J. Chin. Med. 17: 119-127. 3. Bear MF, BW Connorsand MA Paradiso(2007). Chemical control of the brain and behavior. In: M.F. Bear, B. W. Connorsand M.A. Paradiso (eds.) Neuroscience Exploring the Brain.Phladelphia. Lippincott Williams &Wilkins, pp. 481-508. 4. Guyton A.C and JE Hall(2007).Textbook of medical physiology. WB Saunders, Philadelphia, 5. Merskey HM and N Bogduk(1994). Classification of chronic pain. IASP Press, Seattle. 6. Chen Z, Hedner J, Hedner T(1996). Substance P-induced respiratory excitation is blunted by delta-receptor specific opioids in the rat medulla oblongata. Acta Physiol Scand. Jun;157(2):165-73. 7. Pintov S, E Lahat, M Alstein, et all. (1997). Acupuncture and the opioid system: Implications in management of migraine. Pediatr. Neurol. 17: 129-133. 8. Chang FC, HY Tsai, MCYu et all.(2004). The central serotonergic system mediates the analgesic effect of electroacupuncture on Zusanli (ST36) acupoints. J. Biomed. Sci. 11: 179-185. 9. Çevik C. 2016 b Medikal Akupunktur 3.Baskı. Kuban Matbaacılık:162-225. 10. Manchikanti L., Kaye AM, Knezevic NN, et al.Responsible, safe, and effective prescription of opioids for chronic non-cancer pain: American Society of Interventional Pain Physicians (ASIPP) Guidelines Pain Physician, 20 (2017), pp. S3-s92 11. National Academies of Sciences Engineering and MedicinePain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits and Risks of Prescription Opioid Use (2017) The National Academies Press, Washington, DC (2017) https://doi.org/10.17226/24781 12. Singh G, G. Triadafilopoulos Epidemiology of NSAID induced gastrointestinal complications J Rheumatol Suppl, 56 (1999), pp. 18-24 13. Singh G., Ramey DR, Morfeld D, Shi H, Hatoum HT, Fries JF. Gastrointestinal tract complications of nonsteroidal anti-inflammatory drug treatment in rheumatoid arthritis. A prospective observational cohort study.Arch Intern Med, 156 (14) (1996), pp. 1530-1536 14. Singh G. Gastrointestinal complications of prescription and over-thecounter nonsteroidal anti-inflammatory drugs: a view from the Aramis database. Arthritis, Rheumatism, and Aging Medical Information System. Am J Ther, 7 (2) (2000), pp. 115-121 15. Dowell D, Haegerich TM, Chou R.CDC guideline for prescribing opioids for chronic pain – United States, 2016 JAMA, 315 (15) (2016), pp. 1624-1645 16. Bergqvist D.Vascular injuries caused by acupuncture. A systematic review Int Angiol, 32 (1) (2013), pp. 1-8 17. Ernst E, White AR. Prospective studies of the safety of acupuncture: a systematic review Am J Med, 110 (6) (2001), pp. 481-485 18. MacPherson H, Thomas K, Walters S., Fitter M. A prospective survey of adverse events and treatment reactions following 34,000 consultations with professional acupuncturists Acupunct Med, 19 (2) (2001), pp. 93-102 19. MacPherson H, Thomas K. Short term reactions to acupuncture – a crosssectional survey of patient reports Acupunct Med, 23 (3) (2005), pp. 112-120 20. White A. A cumulative review of the range and incidence of significant adverse events associated with acupuncture Acupunct Med, 22 (3) (2004), pp. 122-133 21. Yamashita H, Tsukayama H, White AR, Tanno Y, Sugishita C, Ernst E. Systematic review of adverse events following acupuncture: the Japanese literature Complement Ther Med, 9 (2) (2001), pp. 98-104 22. Zhao L, Zhang F-W, Li Y, et al.Adverse events associated with acupuncture: three multicenter randomized controlled trials of 1968 cases in China Trials, 12 (2011), p. 87 23. Boldt, I. Eriks‐Hoogland, M. Brinkhof, B.R. de, D. Joggi, E.E. VonNon‐ Pharmacological interventions for chronic pain in people with spinal cord injury Cochrane Database Syst Rev (11) (2014) http://dx.doi. org/10.1002/14651858.CD009177.pub2 24. Linde K, Allais G, Brinkhaus B, et al. Acupuncture for the prevention of episodic migraine Cochrane Database Syst Rev, 2016 (6) (2016) Art. No.:CD001218 25. Linde K, Allais G, Brinkhaus B, et al. Acupuncture for the prevention of tension-type headache Cochrane Database Syst Rev, 2016 (4) (2016) Art. No: CD007587 26. MacPherson H, Tilbrook H, Richmond S, et al. Alexander technique lessons or acupuncture sessions for persons with chronic neck pain: a randomized trial.Ann Intern Med, 163 (9) (2015), pp. 653-662.
Toplam 1 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Klinik Tıp Bilimleri
Bölüm Araştırma
Yazarlar

Hayriye Alp Bu kişi benim

Yayımlanma Tarihi 30 Nisan 2020
Yayımlandığı Sayı Yıl 2020 Cilt: 14 Sayı: 1

Kaynak Göster

APA Alp, H. (2020). DİSKOPATİYE BAĞLI NÖROPATİK AĞRIDA NON FARMAKOLOJİK BİR YÖNTEM: AKUPUNKTUR UYGULAMASI. Bilimsel Tamamlayıcı Tıp Regülasyon Ve Nöral Terapi Dergisi, 14(1), 8-10.
AMA Alp H. DİSKOPATİYE BAĞLI NÖROPATİK AĞRIDA NON FARMAKOLOJİK BİR YÖNTEM: AKUPUNKTUR UYGULAMASI. BARNAT. Nisan 2020;14(1):8-10.
Chicago Alp, Hayriye. “DİSKOPATİYE BAĞLI NÖROPATİK AĞRIDA NON FARMAKOLOJİK BİR YÖNTEM: AKUPUNKTUR UYGULAMASI”. Bilimsel Tamamlayıcı Tıp Regülasyon Ve Nöral Terapi Dergisi 14, sy. 1 (Nisan 2020): 8-10.
EndNote Alp H (01 Nisan 2020) DİSKOPATİYE BAĞLI NÖROPATİK AĞRIDA NON FARMAKOLOJİK BİR YÖNTEM: AKUPUNKTUR UYGULAMASI. Bilimsel Tamamlayıcı Tıp Regülasyon ve Nöral Terapi Dergisi 14 1 8–10.
IEEE H. Alp, “DİSKOPATİYE BAĞLI NÖROPATİK AĞRIDA NON FARMAKOLOJİK BİR YÖNTEM: AKUPUNKTUR UYGULAMASI”, BARNAT, c. 14, sy. 1, ss. 8–10, 2020.
ISNAD Alp, Hayriye. “DİSKOPATİYE BAĞLI NÖROPATİK AĞRIDA NON FARMAKOLOJİK BİR YÖNTEM: AKUPUNKTUR UYGULAMASI”. Bilimsel Tamamlayıcı Tıp Regülasyon ve Nöral Terapi Dergisi 14/1 (Nisan 2020), 8-10.
JAMA Alp H. DİSKOPATİYE BAĞLI NÖROPATİK AĞRIDA NON FARMAKOLOJİK BİR YÖNTEM: AKUPUNKTUR UYGULAMASI. BARNAT. 2020;14:8–10.
MLA Alp, Hayriye. “DİSKOPATİYE BAĞLI NÖROPATİK AĞRIDA NON FARMAKOLOJİK BİR YÖNTEM: AKUPUNKTUR UYGULAMASI”. Bilimsel Tamamlayıcı Tıp Regülasyon Ve Nöral Terapi Dergisi, c. 14, sy. 1, 2020, ss. 8-10.
Vancouver Alp H. DİSKOPATİYE BAĞLI NÖROPATİK AĞRIDA NON FARMAKOLOJİK BİR YÖNTEM: AKUPUNKTUR UYGULAMASI. BARNAT. 2020;14(1):8-10.