执行尾膜外皮注射类固醇注射的医生的实践模式
Ashlyn Brown1, Jason Parmar1, Suma Ganji-Angirekula2
1H. Ben Taub Department of Physical Medicine and Rehabilitation Baylor College of Medicine.
Orthopedic reviews
|September 17, 2024
概括
执行尾部外周类固醇注射 (ESI) 的医生通常使用颗粒类固醇和脊髓针,很少使用导管,并且报告没有永久的神经损伤,这表明在管理腰部疼痛方面安全.
科学领域:
- 疼痛管理 疼痛管理
- 干预性疼痛程序 干预性疼痛程序
- 神经学 神经学
背景情况:
- 尾部外周类固醇注射 (ESI) 是治疗腰部疼痛和根茎病的常见方法.
- 医生用于尾部ESI的程序技术存在显著差异.
- 了解这些实践模式对于标准化护理和确保患者安全至关重要.
研究的目的:
- 调查执行尾部ESI的医生之间的实践变化.
- 为了确定类固醇选择,针选择和导管利用的趋势.
- 评估与尾部ESI相关的主要永久神经损伤的发生率.
主要方法:
- 一项调查分发给经验丰富的医生进行ESI.
- 问题集中在首选的类固醇类型,针尺寸,导管使用,以及任何神经损伤.
- 受访者代表了疼痛管理的不同专业和实践环境.
主要成果:
- 大多数 (72.41%) 喜欢颗粒类固醇和脊柱针用于尾部ESI.
- 大多数医生 (65.12%) 不使用导管进行这些注射.
- 没有受访者报告说从尾部ESI引起永久的神经损伤.
结论:
- 尾部ESI的医生实践表明他们更喜欢颗粒类固醇和脊柱针.
- 在目前的尾部ESI程序中,导管的使用并不常见.
- 尾部ESI似乎是一种安全的干预程序,没有报告永久的神经损伤.
相关概念视频
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