Izvorni znanstveni članak
https://doi.org/10.20471/acc.2023.62.s4.2
Utjecaj različitih minimalno invazivnih metoda na ishod liječenja lumbalne radikularne boli
Dino Budrovac
; Department of Anaesthesiology, Reanimatology and Intensive Care, University Hospital Centre Osijek, Croatia; Josip Juraj Strossmayer University Osijek, School of Medicine, Department of Anesthesiology, Reanimatology and Intensive Care, Osijek, Croatia
Marko Pavošević
; Department of Gastroenterology and Hepatology, University Hospital Center Osijek, Croatia
Ivan Radoš
; Department of Anaesthesiology, Reanimatology and Intensive Care, University Hospital Centre Osijek, Croatia; Josip Juraj Strossmayer University Osijek, School of Medicine, Department of Anesthesiology, Reanimatology and Intensive Care, Osijek, Croatia
Dijana Hnatešen
; Department of Anaesthesiology, Reanimatology and Intensive Care, University Hospital Centre Osijek, Croatia; Josip Juraj Strossmayer University Osijek, School of Medicine, Department of Anesthesiology, Reanimatology and Intensive Care, Osijek, Croatia; Nursing Institute “Professor Radivoje Radić”, Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, Croatia
Ozana Katarina Tot
; Department of Anaesthesiology, Reanimatology and Intensive Care, University Hospital Centre Osijek, Croatia; Josip Juraj Strossmayer University Osijek, School of Medicine, Department of Anesthesiology, Reanimatology and Intensive Care, Osijek, Croatia
Ivana Haršanji-Drenjančević
; Department of Anaesthesiology, Reanimatology and Intensive Care, University Hospital Centre Osijek, Croatia; Josip Juraj Strossmayer University Osijek, School of Medicine, Department of Anesthesiology, Reanimatology and Intensive Care, Osijek, Croatia
Darija Venžera Azenić
; Department of Anaesthesiology, Reanimatology and Intensive Care, University Hospital Centre Osijek, Croatia
Marica Kristić
; Department of Anaesthesiology, Reanimatology and Intensive Care, University Hospital Centre Osijek, Croatia
Ivan Omrčen
; Department of Anaesthesiology, Reanimatology and Intensive Care, University Hospital Centre Osijek, Croatia; Josip Juraj Strossmayer University Osijek, School of Medicine, Department of Anesthesiology, Reanimatology and Intensive Care, Osijek, Croatia
Anja Petričević
; Department of Anaesthesiology, Reanimatology and Intensive Care, University Hospital Centre Osijek, Croatia
Sažetak
Lumbalna radikularna bol je veliki javnozdravstveni, društveni i ekonomski problem i često je uzrok profesionalne nesposobnosti.
Cilj ovog istraživanja bio je usporediti intenzitet boli, onesposobljenost i neuropatsku bol ovisno o načinu
liječenja (epiduralna injekcija steroida ili perkutana laserska dekompresija diska) u liječenju lumbalne radikularne boli uzrokovane
hernijom intervertebralnog diska sa ili bez diskoradikularnog kontakta. Podaci su prikupljeni od 28 pacijenata u 3
točke mjerenja (prije zahvata i na pregledima 15. i 30. dana nakon zahvata) pomoću Numeric Rating Scale (NRS), Oswestry
Disabilitiy Indeks (ODI) i Pain Detect. Smanjenje boli nakon zahvata bilo je statistički značajno samo u skupini bolesnika s
diskoradikularnim kontaktom kod kojih je učinjen PLDD (p = 0,04). Iz dobivenih rezultata može se zaključiti da je PLDD
doveo do većeg smanjenja onesposobljenosti (p = 0,009 ) u bolesnika s diskoradikularnim kontaktom a ESI u bolesnika bez
diskoradikularnog kontakta (p = 0,02 ). Rezultati pokazuju da je došlo do značajnog (p = 0,01) smanjenja neuropatske boli
u bolesnika bez diskoradikularnog kontakta koji su liječeni ESI i u bolesnika s diskoradikularnim kontaktom koji su liječeni
PLDD (p = 0,04).
Ključne riječi
hernija diska; epiduralna injekcija; perkutana diskektomija; laser, lumbalna bol; radikulopatija
Hrčak ID:
315766
URI
Datum izdavanja:
1.11.2023.
Posjeta: 76 *