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根据医生推来源的腰部跨内外皮质类固醇注射的结果

Josh Levin^1,2, Wei-Xian Li¹, Nolan Gall¹

¹Department of Orthopaedic Surgery, Stanford University, 450 Broadway St., Pavilion C, 4th Floor, MC 6342, Redwood City, CA, 94063, USA.

Interventional pain medicine

|September 6, 2024

概括

接受 lumbosacral transforaminal epidural steroid injections (TFESIs) 的患者在由执行该程序的医生转诊时有更好的结果. 这提高了疼痛管理的成功率.

科学领域:

疼痛管理疼痛管理
脊柱手术脊柱手术脊柱手术
干预性疼痛医学干预性疼痛医学

背景情况:

许多患者在没有进行手术的医生推后接受 lumbosacral transforaminal epidural steroid injections (TFESIs) 的治疗.
这种做法引发了对治疗疗效和患者治疗结果的影响的问题.

研究的目的:

为了比较光学指导的腰骨神经TFESI的成功率.
根据转诊医生是否经常进行外周类固醇注射 (ESI) 或将患者转诊给其他专家来评估结果.

主要方法:

连续接受 lumbosacral TFESI 的患者的回顾性观察性研究.
数值评分表 (NRS) 疼痛评分的分析,注射前和后60天内.
组A (由ESI执行专家推) 和组B (推到不同的医生) 的比较.

主要成果:

总体成功率 (>50%的NRS疼痛改善) 为39%.
与B组 (23%) 相比,A组的成功率 (47%) 显着更高.
组A也有较大比例的患者达到至少80%的疼痛缓解 (26%vs10%).

结论:

腰椎神经TFESI证明当转诊医生有执行这些注射的经验时,成功率更高.
推模式可能会显著影响TFESI在疼痛管理方面的有效性.
对TFESI的最佳转介途径进行进一步的调查是有必要的.

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