寄生体内膜内膜内膜和外膜内膜外膜类固醇注射用于根性腰部疼痛;哪个更舒适?
Gevher Rabia Genç Perdecioğlu1, Gökhan Yıldız1, Ömer Taylan Akkaya1
1Ankara Etlik City Hospital, Clinic of Algology, Ankara, Turkey.
Turkish journal of anaesthesiology and reanimation
|December 27, 2023
概括
相比于转发性治疗方法,偏体内膜内膜外周固醇注射是治疗腰部疼痛的更安全,更舒适的选择,提供减少辐射暴露和更好的对比传播.
科学领域:
- 疼痛管理 疼痛管理
- 神经外科 神经外科
- 放射学 放射学是一门学科.
背景情况:
- 单边L5和S1根性腰部疼痛显著影响患者的生活质量.
- 除外注射类固醇注射是一种常见的治疗方法,常常使用的是偏管内膜 (PS) 和转管内膜 (TF) 方法.
研究的目的:
- 为了比较单边L5和S1根性下背疼痛的偏间膜 (PS) 和转面膜 (TF) 周周类固醇注射.
- 评估标准包括患者的舒适性,疗效,安全性,对比度增强和辐射暴露.
主要方法:
- 这是一项前性,随机的,单盲研究,涉及59名参与者.
- 数据收集包括视觉模拟尺度 (VAS),奥斯威斯特残疾指数 (ODI),舒适度问卷,光镜时间和对比度分布.
主要成果:
- 无论是PS还是TF方法,VAS和ODI得分都显著改善 (P < 0.001).
- PS组报告了更大的舒适度 (P < 0.001) 和较短的光镜时间 (P < 0.001).
- 在PS组中没有出现并发症,而在TF组中出现了三种并发症;在PS组中注意到对比度扩散的增强.
结论:
- 这种PS外围治疗方法在TF方法上表现出优越性.
- PS的优点包括副作用的发生率较低,辐射暴露减少,患者舒适度提高,并改善了外周膜对比度的扩散.
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