COMPARATIVE EVALUATION THE TREATMENT OF HEADACHE UNDER X-RAY VASCULAR OCCLUSION OF ANEURISM
Abstract
THE AIM OF THE STUDY was to evaluate the effectiveness and improve the results of headache treatment in patients with NSAID after endovascular occlusion of the aneurysm. The study included 88 patients, depending on the method used for multimodal pain control, the following groups were formed: I — dexketoprofen or paracetamol; II — gabapentin plus dexketoprofen or paracetamol; III — transdermal therapeutic system, the active substance of which is fentanyl, plus dexketoprofen or paracetamol. The reserve drug in all three groups was tramadol. The adequacy of the methods was judged by analgesic ability, using the Visual-analogue scale, and by the degree of influence on the level of consciousness, using the Richmond scale of sedation and agitation. When evaluating the effectiveness of the methods, it was found that the multimodal approach to pain control using combinations of gabapentin and dexketoprofen / paracetamol or transdermal fentanyl plus dexketoprofen / paracetamol is the most acceptable for this category of patients.
About the Authors
A. Zh. Bayalieva
Kazan State Medical University» of the Ministry of Health of the Russian Federation; Kazan State Medical Academya
Russian Federation
Russian Federation
R. Ya. Shpaner
Kazan State Medical University» of the Ministry of Health of the Russian Federation; Kazan State Medical Academya
Russian Federation
Russian Federation
I. R. Ganeeva
Kazan State Medical University» of the Ministry of Health of the Russian Federation; Interregional Clinical Diagnostic Center
Russian Federation
Russian Federation
M. Yu. Volodyukhin
Kazan State Medical University» of the Ministry of Health of the Russian Federation; Interregional Clinical Diagnostic Center
Russian Federation
Russian Federation
References
1. Bamford, J. The frequency, causes and timing of death within 30 days of a first stroke: the Oxfordshire Community Stroke Project / J. Bamford [et al.] // Journal of Neurology, Neurosurgery, and Psychiatry. — 1990. — Vol. 53. — P. 824–829.
2. Ellekjaer, H. Epidemiology of Stroke in Innherred, Norway, 1994 to 1996 Incidence and 30-Day Case-Fatality Rate / H. Ellekjaer [et al.] // Stroke. — 1997. — Vol. 28. — P. 2180–2184.
3. Feigin, V. L. Stroke epidemiology in Novosibirsk, Russia: a population-based study / V. L. Feigin [et al.] // Mayo Clin Proc. — 1995. — Vol. 70, Iss. 9. — P. 847–52.
4. Гусев, Е. И. Эпидемиология инсульта в России / Е. И. Гусев [и др.] // Consilium Medicum. Специальный выпуск. — 2003. — С. 5–7. [Gusev, E. I. Epidemiologiya insul’ta v Rossii / E. I. Gusev [i dr.] // Consilium Medicum. Special’nyĭ vypusk. — 2003. — S. 5–7 (In Russ)].
5. Bayalieva AZh, Shpaner RJa, Ganeeva IR, Nasunov SJu. Searching the Optimal Treatment of Headache in Non-traumatic Subarachnoid Hemorrhage. Anaesthesiology and Reanimatology. —2017. № 2. pp149–152 (In Russ)]
6. Bayalieva AZh, Shpaner RJa, Ganeeva IR. Practice in the treatment of headache in acute Non-traumatic Subarachnoid Hemorrhage and evaluation of the effectiveness of therapy. Kazan medical journal. —2016. № 6. pp 841–845 (In Russ)]
7. Mahon P, Smith B, Browne J, Hawkshaw S, McEvoy L, Greene K, Rowan C, Markey F. Effective headache management in the aneurysmal subarachnoid patient: a literature review. British Journal of Neuroscience Nursing. 2012. 8(2): 89–93
8. Ganeeva IR. Management of headache in patients with non-traumatic subarachnoid hemorrhage. Regional anesthesia and treatment of acute pain. — 2017. № 3. pp 164–165 (In Russ)]
9. Singh, M. Predictors of 30-day readmission after subarachnoid hemorrhage / M. Singh [et al.] // Neurocrit Care. — 2013. — Vol. 19, Iss. 3. — P. 306–310.
10. Rumalla, K. Subarachnoid Hemorrhage and Readmissions: National Rates, Causes, Risk Factors, and Outcomes in 16,001 Hospitalized Patients / K. Rumalla [et al.] // World Neurosurg. — 2018. — Vol. 110. — P. 100–111.
11. Morad, A. H. The Longitudinal Course of Pain and Analgesic Therapy Following Aneurysmal Subarachnoid Hemorrhage: A Cohort Study / A. H. Morad, R. J. Tamargo, A. Gottschalk // Headache. — 2016. — Vol. 56, Iss. 10. — P. 1617–1625.
Review
For citations:
Bayalieva A.Zh., Shpaner R.Ya., Ganeeva I.R., Volodyukhin M.Yu. COMPARATIVE EVALUATION THE TREATMENT OF HEADACHE UNDER X-RAY VASCULAR OCCLUSION OF ANEURISM. Russian Neurosurgical Journal named after Professor A. L. Polenov. 2019;11(3):9-14. (In Russ.)
Views:
15
Email this article 