Bell Paralizi Tedavisinde Alfa Lipoik Asitin Etkinliğinin Değerlendirilmesi

Yıl 2022, Cilt: 24 Sayı: 2, 397 - 402, 31.08.2022

Burak Mustafa Taş , Gökçe Özel Müyesser Aras , Rahmi Kılıç

https://doi.org/10.24938/kutfd.1123440

Öz

Amaç: Bu çalışma, Bell paralizisi tedavisinde alfa-lipoik asidin etkinliğini House-Brackmann derecelendirme sistemi ve elektromyografi kullanarak değerlendirmeyi amaçlamaktadır.

Gereç ve Yöntemler: Bu retrospektif çalışmaya toplam 33 hasta dahil edildi. Hastalar iki gruba ayrıldı. Grup 1, Bell paralizisi tedavisine ek olarak günde 300 mg alfa-lipoik asit alan 18 hastayı içeriyordu. Grup 2, sadece Bell paralizisi tedavisi alan 15 hastayı içeriyordu. Her iki grupta da kabulde, 21. günde ve 3. ayda House-Brackmann derecelendirme skoru kaydedildi. 21. günde yapılan elektromyografi sonuçları da tarandı. Hastalar elektromyografi sonuçlarına göre iyi prognoz (nöropraksi) ve kötü prognoz (aksonotmezis ve nörotmezis) olarak sınıflandırıldı. İki grup House-Brackmann dereceleri ve elektromyografi sonuçlarına göre karşılaştırıldı.

Bulgular: Grup 1, 10 kadın ve 8 erkekten, Grup 2 ise 6 kadın ve 9 erkekten oluşuyordu. Bell felcinin sağda veya solda olmasına göre iki grup arasında fark yoktu. Grupların 21. gün ve 3. aydaki House-Brackmann derecelendirme skoru, başvuru sırasında House-Brackmann derecelendirme skorundan anlamlı derecede düşüktü. House-Brackmann derecelerine göre iki grup arasında anlamlı fark yoktu. Gruplar arasında bileşik kas aksiyon potansiyeli oranı ve prognoz açısından fark yoktu.

Sonuç: Alfa-lipoik asit çeşitli hastalıklarda sinir rejenerasyonu için kullanılmasına rağmen çalışmamızda Bell paralizisi tedavisine anlamlı bir etki göstermemiştir.

Anahtar Kelimeler

Alfa-lipoik Asit, Elektromyografi, House-Brackmann Derecelendirme Sistemi, Bell paralizi

EVALUATION OF THE EFFECTIVENESS OF ALPHA LIPOIC ACID IN THE TREATMENT OF BELL'S PALSY

Öz

Objective: This study aims to evaluate the efficacy of alpha-lipoic acid in the treatment of Bell’s palsy by using the House-Brackmann grading system and electromyography.

Material and Methods: A total of 33 patients were included in this retrospective study. Patients were divided into two groups. Group 1 included 18 patients who received 300 mg daily alpha-lipoic acid in addition to Bell’s palsy treatment. Group 2 included 15 patients who only received Bell’s palsy treatment. House-Brackmann grading score at admission, 21st day and at 3rd month were noted in both groups. The results of electromyography performed at 21st day were also scanned. Patients were classified as good prognosis (neuropraxia) and poor prognosis (axonotmesis and neurotmesis) according to electromyography results. The two groups were compared according to House-Brackmann grades and electromyography results.

Results: Group 1 consisted of 10 women and 8 men, while Group 2 consisted of 6 women and 9 men. There was no difference between the two groups according to whether Bell’s palsy was on the right or left side. House-Brackmann grading score of the groups at 21st day and 3rd month were significantly lower than House-Brackmann grading score at admission. There was no significant difference between the two groups according to House-Brackmann grades. There was no difference between the groups in terms of compound muscle action potential ratio and prognosis.

Conclusion: Although alpha-lipoic acid is used for nerve regeneration in various diseases, it did not demonstrate a significant effect on Bell’s palsy treatment in our study.

Anahtar Kelimeler

Alpha-lipoic acid, Bell’s palsy, Electromyography, House-Brackmann grading system

Kaynakça

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