在慢性低背痛患者中尾部外注类固醇注射的有效性
Aditya Goel1, Shivendra Singh1, Navin K Shukla1
1Department of Orthopaedics, Hind Institute of Medical Sciences, Sitapur, Uttar Pradesh, India.
Journal of pharmacy & bioallied sciences
|September 1, 2023
概括
宫外围注射类固醇注射 (CESI) 为慢性腰部疼痛患者提供显著的疼痛缓解. 这项研究表明,CESI有效地减少了疼痛和残疾,改善了许多人的日常功能.
科学领域:
- 疼痛管理 疼痛管理
- 神经外科 神经外科
- 脊柱干预手术 脊柱干预手术
背景情况:
- 慢性腰部疼痛 (LBA) 和根茎病是普遍存在的疾病.
- 尾部外周类固醇注射 (CESI) 是对LBA的常见治疗方法.
- CESI的目的是减少脊柱问题的炎症和疼痛.
研究的目的:
- 评估CESI在治疗慢性LBA方面的有效性.
- 评估CESI对患者功能和疼痛水平的影响.
主要方法:
- 在两年内对120名慢性LBA患者进行了前性分析.
- 患者接受了一到三次CESI.
- 疼痛和残疾是使用奥斯威斯特残疾指数 (ODI) 和视觉模拟尺度 (VAS) 来测量的.
主要成果:
- 平均VAS得分从CESI前的7.11下降到治疗后的一年后的4.82.
- 一年后,平均ODI得分从CESI前的59.12提高到治疗后的44.64.
- 65.83%的患者报告了优秀或良好的结果.
结论:
- 在慢性LBA患者中,CESI可以显著减少疼痛和残疾.
- 对于LBA,CESI提供了一个有价值的保守治疗选择.
- 进一步的研究可能会探索长期疗效和最佳治疗方案.
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