Preoperatif dönemde bitkisel ilaç (madde) kullanan hastalara genel bakış
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Dosyalar
Tarih
2011
Yazarlar
Dergi Başlığı
Dergi ISSN
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Yayıncı
Trakya Üniversitesi Tıp Fakültesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Bu çalışma; preoperatif dönemde bitkisel ilaç kullanımının değerlendirilmesi amacıyla Trakya Üniversitesi Tıp Fakültesi Anesteziyoloji ve Reanimasyon Anabilim Dalı'nda gerçekleştirildi. Altı ay süresince anestezi polikliniğimize başvuran ve genel anestezi altında cerrahi operasyon planlanan yaşları 16 ve üzeri olan 4097 olgu çalışma kapsamına alındı. Rutin sorgulamanın dışında son 3 ay içinde bitkisel ilaç kullanıp kullanmadığı ve tarafımızca belirlenen en çok kullanılan 19 bitkisel ilaçtan hangi veya hangilerini kullandığı olgulara tek tek sorularak kaydedildi. Ayrıca kullandığı bitkisel ürün hakkında operasyonu yapacak cerraha bilgi verip vermediği ve cerrahın bunu sorgulayıp sorgulamadığı kaydedildi. Kullanılan bitkisel ürün ve görülebilecek önemli yan etkiler anestezi poliklinik formu üzerine kaydedildi. Operasyon süresince ve postoperatif dönemde ayılma odasında gözlenen yan etkiler kaydedildi. Çalışmamıza dahil edilen olguların %18,38'inin bitkisel ilaç kullandığı saptandı. İstatistiksel olarak anlamlı olmasa da kullanımının bayanlarda daha yüksek olduğu, 40 yaş üstündeki olgularda daha fazla kullanıldığı bulundu. Bitkisel ilaç olarak en çok ıhlamurun kullanıldığı (%25,31), ıhlamuru sarımsağın (%12,72) izlediği belirlendi. Bitkisel ilaç kullanan olgularda intraoperatif komplikasyon olarak hipotansiyon (% 9,83),hipertansiyon (%6,51) ve bradikardi (%3,45) en fazla görülürken en az bronkospazm (%0,14) görüldü. Hipertermi sadece ıhlamur kullanan 2 olguda görüldü. Bronkospazm sadece kuşburnu kullanan 1 olguda görüldü. Uzamış kanama ise sadece sarımsak kullanan 3 olguda görüldü. Melek otu kullanan olguların %50 sinde taşikardi görüldü. Çok yüksek bir oranmış gibi görünmesine rağmen olgu sayısının sadece 2 olmasının oranın yüksek çıkmasında 41 etken olabileceğini düşündürmektedir. Taşikardi üzerindeki etkisinin daha iyi anlaşılabilmesi için olgu sayısının daha yüksek olduğu çalışmaların yapılması gerekmektedir. Sonuç olarak, bitkisel ilaç kullanımı gittikçe yaygınlaşmaktadır. Anestezist ve cerrahın bu kullanımdan haberi olmalıdır. Anahtar kelimeler: Bitkisel tedavi, Anestezi, Cerrahi
Abstract
This study preoperatively to evaluate the use of herbal medicine was studied at the Department of Anesthesiology and Reanimation. Anesthesia at our outpatient clinic during 6 months and scheduled for surgery under general anesthesia, aged 16 and above were included in the 4097 case study. Except for routine questioning is using herbal medicine in the last 3 months, and we identify the most commonly used herbal medicines to 19 cases in which the individual is using or which ones were asked. In addition, it was recorded if the herbal medicine product information is told to surgeon. Significant adverse effects of herbal products and can be seen in use on the form of outpatient anesthesia were recorded. Operations during the postoperative recovery room and observed side effects were recorded. Seven hundred and fifty-three of 4097 cases (%18,38) had used herbal medicine. Although not statistically significant for women are higher in patients above 40 years of age were used more. Herbal medicine with %25,31 at most as linden, linden with %12,72 followed by garlic found. %9,83 in patients using herbal medicine as a complication of intraoperative hypotension, %6,51 hypertension, %3,45 bradycardia and %0,14 with a minimum of bronchospasm was observed at most. Hyperthermia was seen only in 2 cases using linden. Bronchospasm was seen in 1 case using only the rosehips. Prolonged bleeding was seen in 3 cases only using garlic. 43 Tachycardia was seen in %50 of cases using Angelica. Though it doesn't seem like a very high number of cases of only 2, the ratio suggests that high-rise. Tachycardia effect on the numbers of cases to be higher for a better understanding of the work to be done. Occasionally,herbal drug using is becoing comon, surgeon and anesthesist must beaware of this. Key words: Herbal medication, Anesthesia, Surgery
Abstract
This study preoperatively to evaluate the use of herbal medicine was studied at the Department of Anesthesiology and Reanimation. Anesthesia at our outpatient clinic during 6 months and scheduled for surgery under general anesthesia, aged 16 and above were included in the 4097 case study. Except for routine questioning is using herbal medicine in the last 3 months, and we identify the most commonly used herbal medicines to 19 cases in which the individual is using or which ones were asked. In addition, it was recorded if the herbal medicine product information is told to surgeon. Significant adverse effects of herbal products and can be seen in use on the form of outpatient anesthesia were recorded. Operations during the postoperative recovery room and observed side effects were recorded. Seven hundred and fifty-three of 4097 cases (%18,38) had used herbal medicine. Although not statistically significant for women are higher in patients above 40 years of age were used more. Herbal medicine with %25,31 at most as linden, linden with %12,72 followed by garlic found. %9,83 in patients using herbal medicine as a complication of intraoperative hypotension, %6,51 hypertension, %3,45 bradycardia and %0,14 with a minimum of bronchospasm was observed at most. Hyperthermia was seen only in 2 cases using linden. Bronchospasm was seen in 1 case using only the rosehips. Prolonged bleeding was seen in 3 cases only using garlic. 43 Tachycardia was seen in %50 of cases using Angelica. Though it doesn't seem like a very high number of cases of only 2, the ratio suggests that high-rise. Tachycardia effect on the numbers of cases to be higher for a better understanding of the work to be done. Occasionally,herbal drug using is becoing comon, surgeon and anesthesist must beaware of this. Key words: Herbal medication, Anesthesia, Surgery
Açıklama
Tıpta Uzmanlık Tezi
Anahtar Kelimeler
Bitkisel Tedavi, Anestezi, Cerrahi, Herbal Medication, Anesthesia, Surgery
