Tokgöz Hüsnü, Yalçınkaya Soner, İslamoğlu Ekrem, Karamık Kaan, Tokgöz Özlem, Savaş Murat
Antalya Training and Research Hospital, Departments of Urology, Antalya, Turkey.
Antalya Training and Research Hospital, Departments of Radiology, Antalya, Turkey.
Ghana Med J. 2017 Dec;51(4):181-186.
We tried to investigate the effects of lunar phase on Shock Wave Lithotripsy (SWL) related pain. In addition, correlation of various clinical parameters with the pain perception during SWL procedure, were also investigated.
A total of 378 patients who underwent first SWL sessions for renal or ureteral stones were prospectively enrolled in the study. The degree of pain perception during the procedure was evaluated with 10-point visual analog scale (VAS) and pain questionnaires. The date of SWL was allocated to dates and times of lunar phases as: newmoon, waxing crescent, first quarter, waxing gibbus, fullmoon, waning gibbus, last quarter and waning gibbus.
Mean VAS scores in first quarter (2,41±1,06) were significantly lower when compared to mean VAS scores in waning crescent (3,58±1,83) and waning gibbus (3,42±1,98) (, respectively). No statistically significant differences were observed when other lunar phases were compared between each other. Mean pain scores were not affected from gender, age, body mass index (BMI) and stone characteristics (stone laterality, burden and location).
SWL procedure performed in first quarter of the lunar phase may become less painful. To the best of our knowledge, this is the first study which evaluated the effect of lunar phase on post-SWL pain outcome. Thus, additional randomized studies with larger series may be more informative.
我们试图研究月相对冲击波碎石术（SWL）相关疼痛的影响。此外，还研究了SWL过程中各种临床参数与疼痛感知之间的相关性。
共有378例因肾或输尿管结石首次接受SWL治疗的患者前瞻性纳入本研究。术中疼痛感知程度采用10分视觉模拟量表（VAS）和疼痛问卷进行评估。SWL日期根据月相分配为：新月、娥眉月、上弦月、盈凸月、满月、亏凸月、下弦月和残月。
上弦月时的平均VAS评分（2.41±1.06）显著低于残月（3.58±1.83）和亏凸月（3.42±1.98）时的平均VAS评分（分别为）。其他月相之间比较未观察到统计学显著差异。平均疼痛评分不受性别、年龄、体重指数（BMI）和结石特征（结石位置、负荷和部位）影响。
在月相的上弦月阶段进行SWL手术可能疼痛较轻。据我们所知，这是第一项评估月相对SWL术后疼痛结果影响的研究。因此，更多系列的额外随机研究可能更具参考价值。
