脊柱持续脉冲与腰部外周固醇注射的短期有效性之间的关系
1Department of Anesthesiology and Pain Medicine, Daegu Wooridul Spine Hospital, Daegu, Republic of Korea.
Pain research & management
|March 26, 2024
概括
外周注射类固醇可以有效地缓解腰椎脊柱狭窄性疼痛. 持续脉冲的存在预示着更好的疼痛缓解,而狭窄症的严重程度不会影响短期随访中的ESI有效性.
科学领域:
- 神经外科 神经外科
- 疼痛管理 疼痛管理
- 放射学 放射学是一门学科.
背景情况:
- 腰椎脊柱狭窄症 (LSS) 是腰部疼痛和神经性间歇性的常见原因.
- 外周注射类固醇 (ESI) 是对LSS症状的常见治疗方法.
- 持续脉冲在预测LSSESI疗效方面的作用尚不清楚.
研究的目的:
- 调查脊柱长期脉冲与腰椎脊柱狭窄症患者外周注射类固醇的有效性之间的关系.
- 为了确定持续脉冲的存在或不存在是否会影响ESI后的疼痛缓解.
- 评估脊柱狭窄的程度是否影响ESI结果.
主要方法:
- 这是一项前性研究,涉及71名患有LSS的患者.
- 在ESI之前,使用5-1MHz阵列超声波测量了持续脉冲.
- 视觉模拟尺度 (VAS) 评分在ESI前和ESI后2周和4周记录.
主要成果:
- 汽车神经系统的分数在ESI后得到改善,不论持续脉冲是否存在.
- 在持续脉冲和ESI后VAS得分之间观察到相关性.
- 根据脊柱狭窄的等级,在VAS得分中没有发现显著差异.
结论:
- 对于LSS患者来说,ESI可以提供短期的疼痛缓解.
- 脊柱持续脉动是ESI治疗成功的积极预测因素.
- 腰椎脊柱狭窄症的严重程度不会影响ESI的有效性.
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