在患有手掌道综合征的老年患者中注射内侧柔性视网膜类固醇注射:一种随机临床试验
Reza S Roghani1,2, Sam Kara3, Mohammad J Taheri4
1Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden.
Interventional pain medicine
|September 6, 2024
概括
与传统的手腕道内注射相比,超声波导向的皮质类固醇注射到柔性视网膜中为患有手腕道综合征 (CTS) 的老年患者提供了更好的症状缓解和功能恢复.
科学领域:
- 整形外科 整形外科 整形外科
- 神经学 神经学
- 放射学 放射学是一门学科.
背景情况:
- 手道综合征 (CTS) 是一种常见的疾病,导致手部疼痛和麻木.
- 患有CTS的老年患者可能从向性皮质类固醇注射中受益.
- 目前的治疗方案包括手腕道内注射,但疗效可能有所不同.
研究的目的:
- 为了比较超声波导向内柔性视网膜内皮质类固醇注射与手腕道内注射的疗效,对于患有CTS的老年患者.
- 在两组治疗中评估功能恢复和症状减轻.
主要方法:
- 一项前性,双盲,随机试验,涉及50名患有CTS的老年患者.
- 患者接受了内柔性视网膜或手掌道内皮质类固醇注射.
- 测量结果包括症状严重程度 (BCTQ,VAS),握力,电诊断指数和中枢神经横截面积 (CSA) 在基线和6周.
主要成果:
- 内柔性视网膜注射导致波士顿手腕道问卷 (BCTQ) 评分,视觉模拟尺度 (VAS) 疼痛评分和中枢神经入口横截面积 (CSA) 的明显改善.
- 两组之间在电诊断指数或握力方面没有发现显著差异.
- 所有50名随机选择的参与者都完成了这项研究.
结论:
- 超声波导向的内柔性视网膜体内皮质类固醇注射是患有手腕道综合征的老年患者的更有效治疗方法.
- 与手腕道内注射相比,这种方法提供了优越的症状减轻和功能恢复.
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