INVESTIGATION OF A POSSIBLE ASSOCIATION BETWEEN DYNAMIC THIOL/DISULFIDE HOMEOSTASIS AND PAIN IN KNEE ARTHROPLASTY PATIENTS
Yazarlar (2)
Doç. Dr. Hicabi Sezgin Amasya Üniversitesi, Türkiye
Doç. Dr. Bilal İLANBEY Kırşehir Ahi Evran Üniversitesi, Türkiye
Makale Türü Açık Erişim Özgün Makale (Uluslararası alan indekslerindeki dergilerde yayınlanan tam makale)
Dergi Adı Middle Black Sea Journal of Health Science
Dergi ISSN 2149-7796
Dergi Tarandığı Indeksler index copernicus
Makale Dili İngilizce Basım Tarihi 12-2020
Kabul Tarihi 03-12-2020 Yayınlanma Tarihi 31-12-2020
Cilt / Sayı / Sayfa 6 / 3 / 352–355 DOI 10.19127/mbsjohs.815483
Makale Linki http://dx.doi.org/10.19127/mbsjohs.815483
UAK Araştırma Alanları
Tıbbi Biyokimya
Özet
Objective Dynamic thiol/disulfide homeostasis plays a pivotal role in many physiologic mechanisms. In the present study, we aimed to elucidate the relationship between postoperative pain and thiol/disulfide homeostasis in patients who underwent primary total knee arthroplasty for primary knee osteoarthritis. Methods This prospective uncontrolled study included 28 patients (10 male, 18 female) with a diagnosis of primary gonarthrosis who underwent primary total knee arthroplasty and met the study inclusion criteria. Venous blood samples were taken from the patients and pain values were recorded simultaneously using the visual analog scale (VAS) preoperatively and at the 4th postoperative week. Thiol/disulfide hemostasis levels were measured using a new fully-automated and spectrophotometric method developed by Erel and Neselioglu. Results The average age of the patients participating in the study was 66.25 ± 8.29 years and 18 (64.3%) of the patients were female. B values for preoperative native/total thiol (+7,652), preoperative disulfide/native thiol (+10,550), and postoperative total thiol (+128), positively affected the difference in VAS values. B values for preoperative disulfide (-219), postoperative disulfide (-1,297), postoperative native/total thiol (-4,238), and postoperative disulfide/native thiol (-3,316) negatively affected the difference in VAS values. Conclusion The disulfide level, an oxidized form in thiol/disulfide homeostasis, appears to be a valuable marker for evaluating the effect of oxidative stress on postoperative pain.
Anahtar Kelimeler