评估抗生素治疗对不响应的圣炎的疗效:一项比较研究
Ajay Bharti1, Sanjay Kumar2, Balram Omar3
1Orthopedics, All India Institute of Medical Sciences, Gorakhpur, Gorakhpur, IND.
Cureus
|May 2, 2024
概括
抗生素治疗对于对常规治疗无反应的圣骨炎患者没有显著的益处. 这项研究发现,添加抗生素后,疼痛缓解或功能恢复没有得到改善,这凸显了需要病因诊断的必要性.
科学领域:
- 整形外科 整形外科 整形外科
- 类风湿病学 类风湿病学
- 传染性疾病 传染性疾病
背景情况:
- 圣炎,或圣关节炎,带来管理挑战,特别是在NSAIDs和物理治疗等标准治疗耐药的患者中.
- 在了解耐火性圣炎的替代治疗选择方面存在关键差距.
研究的目的:
- 评估抗生素治疗作为常规治疗神经炎的辅助药物的疗效.
- 评估抗生素对非响应性圣骨炎患者功能恢复和疼痛缓解的影响.
主要方法:
- 一项横截面比较研究包括59名被诊断患有神经炎的患者.
- 患者被分为对照组 (常规治疗) 和研究组 (常规治疗加抗生素).
- 日本骨科协会 (JOA) 评分被用来评估基线,一个月和三个月的结果.
主要成果:
- 这两组在三个月的随访期间,JOA分数均有所改善.
- 在抗生素和对照组之间没有观察到平均JOA得分或恢复率的统计学上显著差异.
- 抗生素的使用没有导致显著的不良影响.
结论:
- 将抗生素添加到常规治疗圣骨炎的治疗中没有产生显著的功能或疼痛缓解益处.
- 圣炎的治疗决策应以潜在的病因学为指导.
- 建议避免不必要的抗生素的使用,以管理神炎.
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