LCI与ESWT在治疗轻度至中度CTS患者上的协同作用:一项随机对照试验
Morteza Gholipour1, Sona Bonakdar1, Mona Gorji2
1Clinical Research Development Unit of Akhtar Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Journal of orthopaedic surgery and research
|July 1, 2023
概括
放射性体外冲击波疗法 (R-ESWT) 与局部皮质类固醇注射 (LCI) 结合,有效地控制了手腕道综合征 (CTS). 这种治疗显著减少疼痛和症状,可能减少对手术的需要.
科学领域:
- 整形外科 整形外科 整形外科
- 物理医学和康复 康复
- 疼痛管理 疼痛管理
背景情况:
- 带道综合征 (CTS) 管理正在发展.
- 放射性体外冲击波疗法 (R-ESWT) 与局部皮质类固醇注射 (LCI) 结合,对CTS有希望.
- 这项研究旨在验证这种联合治疗的疗效.
研究的目的:
- 评估R-ESWT加上LCI在治疗轻度至中度手掌道综合征方面的有效性.
- 为了比较R-ESWT加LCI的结果与LCI的假治疗.
主要方法:
- 一项前性随机对照试验,涉及40名轻度至中度CTS患者.
- 患者被分为两个组:假R-ESWT + LCI和活跃的R-ESWT + LCI.
- 评估结果使用视觉模拟量表 (VAS) 评估疼痛和波士顿手腕道综合征问卷 (BCTSQ) 评估基线症状,以及治疗后的1,3,6个月.
主要成果:
- 两组患者在3个月后,疼痛和症状显著改善 (P<0.05).
- 与假装组相比,R-ESWT + LCI组在6个月内表现出明显更大的症状改善 (P <0.05).
结论:
- 联合R-ESWT和LCI疗法是对轻度至中度的手掌道综合征的有效一线治疗方法.
- 这种治疗方法有助于控制和减少CTS症状,可能降低手术干预的必要性.
- 整形外科医生应该考虑R-ESWT + LCI作为CTS的主要治疗选择.
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