İnmeli Hastalarda Nöropatik Ağrı Sıklığı ve Medikal Tedavi Yaklaşımları

Öz

Amaç: Nöropatik ağrı, inme sonrası dönemde görülebilen ve hastanın yaşam kalitesini, ruh halini ve rehabilitasyon programına katılımını etkileyen bir durumdur. Bu çalışmadaki amacımız inmeli hastalarda nöropatik ağrı sıklığını araştırmak ve uygun tedavi alıp almadıklarını incelemektir. Metod: Çalışma retrospektif, tek merkezli bir klinik araştırma olarak tasarlandı. Haziran 2021-Haziran 2022 tarihleri arasında hastanemizin Fizik Tedavi ve Rehabilitasyon polikliniğine inme tanısıyla başvuran hastalar çalışmaya dahil edildi. Afazi, kognitif disfonksiyon, subaraknoid kanama, arteriyovenöz malformasyon, tümör, travmatik beyin hasarı, kompleks bölgesel ağrı sendromu öyküsü olan hastalar çalışma dışı bırakıldı. Hastalarla telefon görüşmesi yapılarak, plejik tarafı ve ağrısının şiddeti (numerik ağrı skalası ile) soruldu. Nöropatik ağrı açısından S-LANSS (Self – Leeds Assesment of Neuropathic Symptoms and Signs) anketi yapıldı. Hastanın bu ağrı için kullandığı ilaçlar sorgulandı. Bulgular: Bu çalışmaya toplam 41 hasta (22 erkek, 19 kadın) dahil edildi. Hastaların ortalama yaşı 63,54 ± 10,97 yıl idi. 22 sağ hemiplejik ve 19 sol hemiplejik hasta vardı. Nöropatik ağrı sıklığı %41,5 (17 hasta) idi. Nöropatik ağrısı olan kişilerde Numerik ağrı skalası, S-LANSS skoru (p=0,0001) ve gabapentinoid kullanımı (p=0,014) anlamlı olarak daha yüksek bulundu. Sonuç: inmeli hastalarda nöropatik ağrı sıklığı belirgin şekilde yüksek bulunmuştur. Nöropatik ağrının saptanması ve uygun şekilde tedavi edilmesinin inme hastalarının yaşam kalitesi üzerine olumlu etkileri olacaktır

Anahtar Kelimeler

• inme
• gabapentinoidler
• nöropatik ağrı

The Frequency of Neuropathic Pain In Stroke Patients and Medical Treatment Approaches

Öz

Background/Aim: Neuropathic pain is a condition that can be seen in the post-stroke period and affects the patient's quality of life, mood, and participation in the rehabilitation program. Our aim in this study is to investigate the frequency of neuropathic pain in stroke patients and to examine whether they receive appropriate treatment. Method: This study was designed as a retrospective, single-center clinical trial. Patients with stroke who applied to our physical medicine and rehabilitation outpatient clinic between June 2021 and June 2022 were included in the study. Patients with history of aphasia, cognitive dysfunction, subarachnoid hemorrhage, arteriovenous malformation, tumor, traumatic brain injury, complex regional pain syndrome were excluded from the study. The plegic side, the severity of pain with the numerical pain scale (NPS) and neuropathic pain with the S-LANSS (Self – Leeds Assesment of Neuropathic Symptoms and Signs) questionnaire were questioned by making phone calls with the patients. The drug treatments they used were questioned. Results: A total of 41 patients (22 male, 19 female) were included in this study. The mean age of the patients was 63.54 ± 10.97 years. There were 22 right hemiplegic and 19 left hemiplegic patients. Neuropathic pain frequency was 41.5% (17 patients). NPS, S-LANSS (p = 0.0001) and gabapentinoid use (p = 0.014) were found to be significantly higher in people with neuropathic pain. Conclusion: The frequency of neuropathic pain was found to be significantly higher in stroke patients. Detecting neuropathic pain and treating it appropriately will improve the quality of life of stroke patients.

Anahtar Kelimeler

• gabapentinoid
• neuropathic pain
• stroke

Kaynakça

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