关节内自身蛋白质溶液对膝关节骨关节炎症状的影响
Marla Ross1, Yushy Zhou1,2,3, Michael English1
1Orthopaedic Surgery, Whangārei Hospital, Whangārei, New Zealand.
The bone & joint journal
|August 31, 2024
概括
自生蛋白溶液 (APS) 注射与盐水相比,没有改善膝关节关节炎症状. 接受APS治疗的患者在12个月后感到更严重的疼痛,这表明这种膝关节OA治疗没有益处.
科学领域:
- 整形外科 整形外科 整形外科
- 再生医学是一种再生医学.
- 生物制剂 生物制剂 生物制剂
背景情况:
- 膝关节关节炎 (OA) 涉及慢性炎症和软骨退化.
- 包括自身蛋白溶液 (APS) 在内的关节内疗法正在探索非手术性OA治疗.
- APS是从患者的血液中衍生出来的,集中了抗炎细胞因子.
研究的目的:
- 为了评估nSTRIDE的疗效,一种特定的APS内关节注射,与中度膝关节OA患者的盐水相比.
- 为了比较患者报告的结果,包括APS和安慰剂组之间的WOMAC,KOOS和VAS得分.
主要方法:
- 一个平行,双盲,安慰剂控制的随机试验.
- 40名中度膝关节骨质炎患者 (Kellgren-Lawrence 2~3级) 接受了nSTRIDE或盐水注射.
- 主要结局:12个月后的WOMAC总分. 二次结局:WOMAC,KOOS和VAS分数在3,6和12个月.
主要成果:
- 在12个月的WOMAC总分数中,nSTRIDE和盐酸组之间没有显著差异.
- 在所有随访时间点中,没有观察到WOMAC或KOOS得分的显著差异.
- 在12个月后,VAS得分表明nSTRIDE组的疼痛 (休息和最严重) 与盐水相比明显更糟.
结论:
- 与盐水相比,nSTRIDE (APS) 注射对中度膝关节OA的WOMAC或KOOS得分没有显著改善.
- 在治疗后12个月,APS注射与明显更糟糕的疼痛结果有关.
- 这项研究在两组治疗中都没有发现任何不良事件.
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