지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 301 - 306 (6page)
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초록· 키워드
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Background: Ganglion impar blockade is a reliable and effective treatment option used in patients with coccydynia. Our primary objective was to specify the role of corticosteroids in impar blockade. We compared applications of local anesthetic with the local anesthetic + corticosteroid combination in terms of treatment efficiency in patients with chronic coccydynia. Methods: Our study was a prospective randomize double-blind study. The patients were divided into 2 groups after randomization. The first group (group SL) was made up of patients where a corticosteroid + local anesthetic were used during ganglion impar blockade. In the second group (group L) we used only local anesthetic. We evaluated numeric rating scale (NRS) and Beck depression scale, which were employed before the procedure and in 1st and 3rd months after the procedure. Results: Seventy-three patients were included in the final analysis. We detected a significantly greater decrease in NRS values in the 1st month in group SL than in group L (P = 0.001). In the same way, NRS values in the 3rd month were significantly lower in the group with steroids (P = 0.0001). During the evaluation of the Beck test, we detected significantly greater decreases in the 1st month (P = 0.017) and 3rd month (P = 0.021) in the SL group than in the L group. Conclusions: Ganglion impar blockade decreases pain in the treatment of chronic coccydynia and improve depression. Addition of steroids in a ganglion impar blockade is required for treatment response that should accumulate over a long period of time.
목차
등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
Nathan ST / 2010 / Coccydynia : a review of pathoanatomy, aetiology, treatment and outcome / J Bone Joint Surg Br 92:1622~1627
Maigne JY / 1994 / Idiopathic coccygodynia. Lateral roentgenograms in the sitting position and coccygeal discography / Spine (Phila Pa 1976) 19:930~934
De Andrés J / 2003 / Coccygodynia : a proposal for an algorithm for treatment / J Pain 4:257~266
Maroy B / 1988 / Spontaneous and evoked coccygeal pain in depression / Dis Colon Rectum 31:210~215
Maigne JY / 2006 / The treatment of chronic coccydynia with intrarectal manipulation: a randomized controlled study / Spine (Phila Pa 1976) 31:E621~E627
Maigne JY / 1994 / Idiopathic coccygodynia. Lateral roentgenograms in the sitting position and coccygeal discography / Spine (Phila Pa 1976) 19:930~934
De Andrés J / 2003 / Coccygodynia : a proposal for an algorithm for treatment / J Pain 4:257~266
Maroy B / 1988 / Spontaneous and evoked coccygeal pain in depression / Dis Colon Rectum 31:210~215
Maigne JY / 2006 / The treatment of chronic coccydynia with intrarectal manipulation: a randomized controlled study / Spine (Phila Pa 1976) 31:E621~E627
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