Dolor pélvico crónico en la mujer

Introduccion: el dolor pelvico es una entidad frecuente en mujeres, aunque no es un proceso exclusivo de ellas, pues tambien aparece en hombres. Objetivo: identificar el comportamiento del dolor cronico pelvico en mujeres en la institucion sede del estudio. Metodo: se realizo un estudio en pacientes atendidas en la consulta de dolor cronico del Hospital Dr. Luis Diaz Soto, entre abril de 2011 y abril de 2012. Se incluyeron las pacientes remitidas a la consulta de dolor cronico, las cuales se evaluaron empleando como instrumento principal para la mensuracion la escala visual analoga (EVA). Igualmente se les aplico tratamiento multimodal con analgesicos, anti-inflamatorios, relajantes musculo liso, antidepresivos y ozono. Resultados: se incluyeron 114 pacientes. El dolor pelvico cronico aparecio en 114 mujeres con una edad promedio de 26 anos. De ellas 61 tenian antecedentes de enfermedad inflamatoria pelvica, y 45 cirugia ginecologica previa. Como causas contribuyentes se encontraron el empleo de monoterapia analgesica, la dosificacion insuficiente y la cronofarmacoterapia inadecuada (horario). El empleo de una combinacion de opioides anti inflamatorios no esteroideos antidepresivos ozono, logro aliviar a la mayoria de las pacientes (98 para el 85,96 %). Los efectos indeseables asociados a los agentes empleados predominaron con el empleo de tramadol (nauseas) y antinflamatorios no esteroideos (epigastralgia), sin determinar la suspension del tratamiento. Conclusiones: el dolor pelvico cronico es frecuente en mujeres jovenes, asociados a la enfermedad inflamatoria pelvica, los tratamientos deficientes son una causa contribuyente frecuente y la terapia multimodal ofrecio resultados adecuados con pocos efectos indeseables. Introduction: the pelvis pain is a frequent entity in women, though it is not a process only for women because men can suffer from pelvis pains. Objective: to identify the behavior of chronic pelvis pain in women from the institution where the study is carried out. Methods: a study was carried out in patients assisted in the chronic pain consultation at Dr Luis Diaz Soto Hospital between April 2011 y April 2012. Patients referred to the chronic pain consultation were included in the study which was evaluated making use of a principal instrument for the measurement of the analogical visual scale (EVA). Likewise, a multimodal treatment was applied with analgesics, anti-inflammatories, smooth muscle relaxer, anti-depressive and ozone. Results: 114 patients were included. The chronic pelvis pain appeared in 114 women with an average age of 26 years. 61 had previous antecedents of the inflammatory disease and 45 with a previous gynecology surgery. As contributor causes the use of mono analgesic therapy was found, the insufficient dosage and the chrono pharmacotherapy (schedule). The use of a combination of opiums - anti inflammatories non steropids - anti depressives - ozone, managed to alleviate in most of the patients (98 for a 85,96 %). The undesirables effects associated to agents employed prevailed the use of tramadol (nauseas) and anti inflammatories non steroids (epigastralgia), without determining the suspension of the treatment. Conclusion: the chronic pelvis pain is frequent in young women associated to the pelvis inflammatory disease, inefficient treatments are a contributing frequent cause and the multimodal therapy offered adequate results with few undesirable effects.