内关节注射治疗的慢性毒性:一个范围审查
Carmelo Pirri1, Andrea Sorbino2, Nicola Manocchio2
1Department of Neurosciences, Institute of Human Anatomy, University of Padova, 35121 Padova, Italy.
International journal of molecular sciences
|July 13, 2024
概括
某些注射到关节中的药物,如皮质类固醇和局部麻醉剂,可能会损害软骨. 氨酸似乎更安全,但需要对富含血小板的血进行更多研究. 剂量和频率是关键因素.
科学领域:
- 整形外科 整形外科 整形外科
- 药理学 药理学是指药理学的学科.
- 再生医学是一种再生医学.
背景情况:
- 关节内注射是常见的关节疼痛.
- 评估常见注射物质的冠状炎毒性对于患者安全至关重要.
- 现有的文献需要综合来指导临床实践.
研究的目的:
- 进行范围审查,确定用于关节内注射的药物的德毒性作用.
- 评估各种关节内药物的安全性.
主要方法:
- 在PubMed,Scopus,Web of Science和Cochrane数据库中进行了搜索.
- 包括英语随机对照试验评估软骨损伤影响.
- 选了185篇独特的文章,最终包括65篇在审查中.
主要成果:
- 皮质类固醇 (除了三氨),局部麻醉剂 (可能不包括罗皮瓦卡因和脂质体布皮瓦卡因) 和NSAIDs显示了有关安全性.
- 氨酸证明了安全性和减轻组合疗法风险的潜力.
- 对于富血小板血的数据有限,需要进一步调查.
结论:
- 几种常见的注射药物对软骨健康构成风险,需要谨慎的临床使用.
- 氨酸是一种更安全的替代品,可以用于组合疗法.
- 进一步的研究对于确定富血小板血的安全性和有效性以及优化所有药物的注射方案至关重要.
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