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根性疼痛管理使用超声导向与光学导向的外周类固醇注射:对比研究的系统范围审查

Wassim Hassan¹, Ahmad Hassan², Enyo Ablordeppey³

¹Anesthesiology, University of Illinois College of Medicine, Chicago, USA.

|August 29, 2024

概括

超声导向的外周类固醇注射 (ESI) 提供了与光学指导对根性疼痛的可比结果. 这种方法降低了成本和辐射暴露,使其成为治疗背部疼痛的可行替代方案.

科学领域:

疼痛管理疼痛管理
医疗成像医学成像
干预程序干预程序

背景情况:

背部疼痛是全球残疾的主要原因之一,造成严重的医疗和经济负担.
外周注射类固醇注射 (ESI) 是治疗根性疼痛的常见方法.
超声指导 (UG) 为ESI提供了光学指导 (FG) 的潜在成本效益替代方案,特别是在资源有限的环境中.

研究的目的:

进行范围审查,比较超声导向 (UG) 与光导向 (FG) 的临床结果,用于治疗根性疼痛的外周类固醇注射 (ESI).
综合来自随机对照试验 (RCT) 和比较观察性研究的证据.

主要方法:

在多个数据库 (Embase,Ovid Medline,Scopus,CENTRAL,CDSR,ClinicalTrials.gov) 进行了系统的文献搜索.
包括符合PRISMA-ScR指南的研究,重点是RCT和比较观察性研究,比较UG和FGESI的根性疼痛.
对RCT的偏差风险使用Cochrane协作工具进行了评估.

主要成果:

从1659个出版物中包括了8项研究 (5项RCT,3项追溯比较研究).
关于成功率,疼痛指数或术后残疾 (p > 0.05) 的UG和FG ESI之间没有发现显著差异.
UG ESI 展示了潜在的好处,包括缩短了针插入和总操作时间,降低了成本,尽量减少了辐射暴露,并促进了船只识别.

结论:

超声导向 (UG) 和光导向 (FG) 周周类固醇注射 (ESI) 显示了可比的临床结果和根性疼痛的安全性.
UG ESI提供了诸如降低成本,辐射暴露和潜在的更短的程序时间等优势.
未来的研究应该调查长期结果,成本效益,以及患者报告的满意度和生活质量.

关键词:

麻醉学麻醉学外围注射类固醇注射的外围注射.光镜是指光镜.疼痛管理疼痛管理根本性疼痛是一种根性疼痛.超声波超声波是指超声波的使用.超声波导向的超声波导向的超声波导向.

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