- citati u SCIndeksu: 0
- citati u CrossRef-u:0
- citati u Google Scholaru:[
 ]
- posete u poslednjih 30 dana:2
- preuzimanja u poslednjih 30 dana:0
|
|
|
2013, vol. 8, br. 1, str. 43-49
|
|
Treći trimestar trudnoće - sindrom karpalnog tunela, anksioznost i depresivnost
Third trimester of pregnancy: Carpal tunnel syndrome, anxiety and depression
aUniverzitet u Tuzli, Medicinski fakultet, Federacija BiH + Univerzitet u Tuzli, Medicinski fakultet, Federacija BiH bUniverzitet u Tuzli, Medicinski fakultet, Federacija BiH
e-adresa: suljo.kunic@hotmail.com
Sažetak
U studiji je merena frekvenca karpal tunel sindroma (KTS), te nivo anksioznosti i depresivnosti u trećem trimestru zdravih, redovno kontrolisanih trudnica. Studija je izvedena u Kabinetu za neurofiziologiju Doma zdravlja Tuzla, u periodu januar-april 2006. Ispitivanu grupu je činilo 40 trudnica u trećem trimestru trudnoće, sa prosečnom starosti od 25,6 ± 4,9 godina. Kontrolnu grupu su činile zdrave žene prosečne starosti 31,1 ± 4,4 godina. Mereni su neurofiziološki parametri n. medainus-a, Bekova skala depresivnosti (BDI) i Bekova skala anksioznosti (BAI). Dijagnoza KTS je neurofiziološki potvrđena kod 12 trudnica (30%), a 75% je pokazalo kliničke simptome i znakove oboljenja. Bol je meren subjektivnom skalom bola rangiranom od 0 (odsustvo bola) do 10 (najjači bol koji osoba može doživeti). Srednja vrednost BAI u kontrolnoj grupi je bila 8,6 ± 6,5, dok je u grupi trudnica bila signifikantno veća (p = 0,011)ili 12,9±6,9. Srednja vrednost BDI je u kontrolnoj grupi bila 4,2 ± 4,4, a u grupi trudnica signifikantno veća (p = 0,0008), ili 8,7 ± 5,9. Srednja vrednost BAI u grupi trudnica sa KTS je bila 12,25± 6,7, nesignifikantno veća od one koja je merena u kontrolnoj grupi (p = 0,113). Srednja vrednost BDI u grupi trudnica sa KTS je bila 7,9 ± 6,4, signifikantno veća nego u kontrolnoj grupi (p = 0,037). Srednja vrednost subjektivne procene bola u grupi trudnica sa KTS je bila 2,4 ±2,1. Uočena je lakša korelacija intenziteta bola i stepena BAI (r = 0,289), te negativna korelacija sa nivoom depresivnosti (r = - 0,297). Nameće se zaključak da je kod trudnica sa normalnim rizikom neophodno uložiti dodatni napor u tretmanu neprijatnih stanja kao što su KTS, anksioznost i depresivnost, koja mogu narušiti kvalitet života i imati fizičke i psihičke posledice na buduću majku.
Abstract
This study measured the frequency of carpal tunnel syndrome (CTS) and the levels of anxiety and depression in the third trimester of healthy pregnant women having regular prenatal visits. The study was performed at the Department of Neurophysiology Health Centre Tuzla in the period of January through April 2006. The group consisted of 40 pregnant women in the third trimester of pregnancy, age range of 25.6 ± 4.9 years. The control group consisted of healthy women, ages 31.1 ± 4.4 years. The electrophysiological parameters n. medians, the Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI) were measured. The diagnosis of CTS is neurophysiologically confirmed in 12 pregnant women (30%) and 75% showed clinical signs and symptoms of disease. Pain was measured by subjective pain scale ranked from 0 (absence of pain) to 10 (severe pain). The mean value of BAI in control group was 8.6 ± 6.5, while in the group of pregnant women was 12.9 ± 6.9, which was significantly higher (p = 0.011). The mean value of BDI in control group was 4.2 ±4.4 and in the group of pregnant women was 8.7 ±5.9. which was significantly higher (p = 0.0008), The mean value of BAI in the group of women with CTS was 12.25 ± 6.7 which was not significantly higher than the compared to the control group (p = 0.113). The mean value of BDI in the group of pregnant women with CTS was 7.9 ± 6.4,which was significantly higher when compared to the control group (p = 0.037). The subjective assessment of pain in the group of women with CTS was 2.4 ±2.1. There was a slight correlation between pain intensity and degree of BAI (r = 0.289) and a negative correlation with the level of depression (r = - 0.297). The conclusion is that pregnant women with normal risk should make an extra effort in the treatment of unpleasant conditions such as CTS, anxiety and depression, which may impair the quality of life and have physical and psychological side effects on the future mother.
|
|
|
|
Reference
|
|
  
|
Atisook, R., Benjapibal, M., Sunsaneevithayakul, P., Roongpisuthipong, A. (1995) Carpal tunnel syndrome during pregnancy: prevalence and blood level of pyridoxine. Journal of the Medical Association of Thailand = Chotmaihet thangphaet, 78(8): 410-4
|
|
|
Ekman-Ordeberg, G., Salgeback, S., Ordeberg, G. (1987) Carpal Tunnel Syndrome in Pregnancy: A Prospective Study. Acta Obstetricia et Gynecologica Scandinavica, 66(3): 233-235
|
|
|
Gawlik, S., Waldeier, L., Müller, M., Szabo, A., Sohn, C., Reck, C. (2013) Subclinical depressive symptoms during pregnancy and birth outcome-a pilot study in a healthy German sample. Archives of Women's Mental Health, 16(2): 93-100
|
|
|
Hilderink, P.H., Burger, H., Deeg, D.J., Beekman, A.T., Voshaar, R. (2012) The Temporal Relation Between Pain and Depression: Results From the Longitudinal Aging Study Amsterdam. Psychosomatic Medicine, 74(9): 945-951
|
|
|
Jakovljević, M. (1998) Depresija - prepoznavanje i liječenje u primarnoj zdravstvenoj zaštiti. Zagreb: Pro Mente, 7-27
|
|
17
|
Kaličanin, P. (2001) Psihijatrija. Velarta
|
|
|
LeBlanc, K.E., Cestia, W. (2011) Carpal tunnel syndrome. American family physician, 83(8): 952-8
|
|
|
Loomans, E.M., van Dijk, A.E., Vrijkotte, T.G., van Eijsden, M., Stronks, K., Gemke, R.J., van den Bergh, B.R. (2012) Psychosocial stress during pregnancy is related to adverse birth outcomes: Results from a large multi-ethnic community-based birth cohort. Eur J Public Health, 31, In press
|
|
|
Marcinko, D., Jakovljević, M., Medjedović, V. (2002) Psihijatrijski poremećaji u trudnoći i babinju. u: Djelmiš J., i dr. [ur.] Neurološke bolesti u trudnoći, Zagreb: Medias, 230-8
|
|
|
Massey, E.W. (1978) Carpal tunnel syndrome in pregnancy. Obstet Gynecol, 33: 145-8
|
|
|
McLennan, H.G., Oats, J.N., Walstab, J.E. (1987) Survey of hand symptoms in pregnancy. Medical journal of Australia, 147(11-12): 542-4
|
|
|
Nunez, F., Vranceanu, A., Ring, D. (2010) Determinants of pain in patients with carpal tunnel syndrome. Clinical orthopaedics and related research, 468(12): 3328-32
|
|
|
Osterman, M., Ilyas, A.M., Matzon, J.L. (2012) Carpal tunnel syndrome in pregnancy. Orthopedic clinics of North America, 43(4): 515-20
|
|
|
Padua, L., Aprile, I., Caliandro, P., Mondelli, M., Pasqualetti, P., Tonali, P.A. (2002) Carpal tunnel syndrome in pregnancy: multiperspective follow-up of untreated cases. Neurology, 59(10): 1643-6
|
|
|
Padua, L., di Pasquale, A., Pazzaglia, C., Liotta, G.A., Librante, A., Mondelli, M. (2010) Systematic review of pregnancy-related carpal tunnel syndrome. Muscle & nerve, 42(5): 697-702
|
|
|
Pogorzelski, R., Kułakowska, A., Halicka, D., Drozdowski, W. (2011) Neurological and emotional profile of carpal tunnel syndrome patients. Przegla̧d lekarski, 68(5): 269-73
|
|
|
Rozali, Z.I., Noorman, F.M., de Cruz, P.K., Feng, Y.K., Razab, H.W., Sapuan, J., Singh, R., Sikkandar, F.M. (2012) Impact of carpal tunnel syndrome on the expectant woman's life. Asia Pacific family medicine, 11(1): 1
|
|
|
Voitk, A.J., Mueller, J.C., Farlinger, D.E., Johnston, R.U. (1983) Carpal tunnel syndrome in pregnancy. Canadian Medical Association journal, 128(3): 277-81
|
|
|
Yazdanpanah, P., Aramesh, S., Mousavizadeh, A., Ghaffari, P., Khosravi, Z., Khademi, A. (2012) Prevalence and severity of carpal tunnel syndrome in women. Iranian journal of public health, 41(2): 105-10
|
|
|
|
|