AĞRI KLİNİĞİNE BAŞVURAN KRONİK AĞRILI HASTALARIN GERİYE DÖNÜK DEĞERLENDİRİLMESİ: İKİ YILLIK DENEYİMLERİMİZ Retrospective Evaluation of Chronic Pain Patients Attending to Pain Clinic: Our Two Years Experiences

Yıl 2019, Cilt: 9 Sayı: 1, 22 - 27, 26.03.2019

Tülin Arıcı Ertuğrul Kılıç

Öz

ÖZET

Amaç: Bu çalışmadaki amacımız, hastanemizde ilk defa açılan ağrı polikliniğine ilk 2 yılda ağrı şikayeti ile

başvuran hastaların ağrı tipleri, demografik özellikleri ile tedavilerini geriye dönük olarak değerlendirmektir.

Gereç ve Yöntem: Çalışmamızda Ocak 2016-Aralık 2017 tarihleri arasında XXXX eğitim ve Araştırma hastanesi

ağrı polikliniğine kronik ağrı şikayeti ile başvuran hastaların dosyaları incelendi. Hastaların ağrı tipleri,

demografik özellikleri ve uygulanan tedaviler geriye dönük olarak değerlendirildi.

Bulgular: İki yıllık sürede polikliniğimize 6545 kronik ağrılı hasta başvurduğu görüldü. Hastaların 4199’u kadın

(%64.15), 2346’sı erkek (%35.85) olarak tespit edildi. En sık kanser dışı ağrı nedenleri (KDA); bel ağrısı,

myofasial ağrı ve nöropatik ağrı idi. Kanser ağrısı (KA) nedeni ile başvuran hasta sayısı 358 (%5.46) olup en sık

nedenler gastrointestinal sistem kaynaklı kanser, akciğer kanseri ve meme kanseri idi. Hastaların tamamına

medikal tedavi ve 728 (%11.12) hastaya ek olarak girişimsel ağrı tedavisi uygulandığı tespit edildi. En sık

yapılan girişimsel ağrı tedavi yöntemleri; tetik nokta enjeksiyonu, faset sinir radyofrekans termokoagülasyon

uygulaması, epidural steroid uygulamaları ve dorsal kök ganglion radyofrekans uygulaması olarak saptandı.

Sonuç: Ağrı klinikleri ve başvuran hasta sayısı devamlı olarak artmaktadır. Hastanemizde 2 yıl önce kurulan

ve yüksek nüfus bölgelerine hitap eden merkezimizin bu sonuçlarının kronik ağrı çalışmaları için önemli bir

veri kaynağı olacağını düşünmekteyiz.

Anahtar Sözcükler: Ağrı; Ağrı kliniği; Hasta grupları

ABSTRACT

Objective and aim: Our aim in this study is to retrospectively evaluate the pain types, demographic

characteristics and treatments of the patients who complained pain in the first 2 years to the pain clinic that

was opened for the first time in our hospital.

Materials and Methods: We reviewed the files of patients who had chronic pain at XXXX Training and

Research Hospital pain clinic between January 2016 and December 2017. Patients' pain types, demographic

characteristics, and applied treatments were evaluated retrospectively.

Results: 6545 patients with chronic pain were admitted to our clinic for two years. 4199 of the patients

were female (64.15%) and 2346 were male (35.85%). The most common causes of non-cancer pain; back

pain, myofascial pain, and neuropathic pain. The number of patients who applied with the cause of cancer

pain (CP) was 358 (5.46%). The most common causes were gastrointestinal system cancer, lung cancer and

breast cancer. All of the patients were found to have medical treatment and interventional pain therapy in

addition to the 728 (11.12%) patients. The most common interventional pain management methods are;

trigger point injection, facet nerve radiofrequency thermocoagulation, epidural steroid applications, and

dorsal root ganglion radiofrequency application.

Conclusion: Pain clinics and the number of patients are constantly increasing. We believe that these results

of our center established in our hospital 2 years ago and addressing high population regions will be an

important data source for chronic pain studies.

Keywords: Pain; Pain clinic; Group of patients

Anahtar Kelimeler

AĞRI KLİNİĞİNE BAŞVURAN KRONİK AĞRILI HASTALARIN GERİYE DÖNÜK DEĞERLENDİRİLMESİ: İKİ YILLIK DENEYİMLERİMİZ Retrospective Evaluation of Chronic Pain Patients Attending to Pain Clinic: Our Two Years Experiences

Kaynakça

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