Evaluation of endocrine complications in patients with long-term epidural steroid injections
- Conditions
- Diseases of the musculo-skeletal system and connective tissue
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 30
1) The subject is a classification method that predicts the risk of anesthesia based on the health condition of patients scheduled for surgery that is determined by the American Association of anesthesiologists (ASA) category 1. That is, class 1 is in a state of no internal disease. Anesthesia-related journals should be free from other underlying conditions, customarily used as an indicator of the health of the subject.
2) The patient is over 50 years old, and gender is irrelevant (but women are menopause patients)
3) Patients diagnosed with lumbar HNP or spinal stenosis based on symptoms (pain nature, pain location, intermittent neurogenic claudication, pain aggravating or relieving factors, etc.), signs (straight leg raising test, sensory, motor, deep tendon reflex, etc.), and magnetic resonance imaging (MRI) findings.
4) The person is willing and able to sign a written agreement to participate in this test and fully understand and cooperate with the test.
1) Patients with absolute maladaptation of the ESI (blood clotting disorder patients, infected patients in the area of the procedure)
2) Patients who are maladaptive of steroids (those who overreact to steroids, pregnant women, and those who have endocrine diseases)
3) Patients who have received steroid treatment for other conditions over the past three months
4) Chronic disease such as diabetes, high blood pressure, heart failure, kidney disease, liver disease
5) Sleep pattern is abnormal
6) Those who are taking hormone preparations such as oriental medicine and contraceptives
7) Those who have experienced severe stress for the past month
8) The subjects with oral disease.
9) The subjects should not drink alcohol for up to 12 hours before sampling.
10) The subjects do not eat or drink food until one hour after sampling.
Study & Design
- Study Type
- Observational Study
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method salivary cortisol concentration
- Secondary Outcome Measures
Name Time Method ACTH stimulation test;Late-night salivary cortisol (LNSC) measurement;Numeric rating scale (NRS) score;Serum ACTH;Fasting blood sugar