补充治疗缓解疼痛和增强老年骨关节炎患者的功能能力
Sorina Maria Aurelian1,2, Corina Oancea2, Justin Aurelian3,4
1Clinic of Geriatrics, Hospital of Chronic Diseases "Sf. Luca", Faculty of Medicine, University of Medicine and Pharmacy "Carol Davila", 041915 Bucharest, Romania.
Healthcare (Basel, Switzerland)
|January 25, 2025
概括
这项研究发现,与物理治疗相结合的普罗卡因复合物显著减少了骨关节炎的老年患者的疼痛,并改善了他们的日常活动. 它提供了一个安全的,非手术的选择,用于管理膝盖和部疼痛.
科学领域:
- 老年学是指老年学的学科.
- 类风湿病学 类风湿病学
- 药理学 药理学是指药理学的学科.
背景情况:
- 骨关节炎 (OA) 是一种常见于老年人的退行性关节疾病,导致疼痛和运动能力下降.
- 长期使用的药物普罗卡因正在重新评估新的治疗效果.
- 这项研究研究了一种用于OA症状管理的新型"procaine复合物".
研究的目的:
- 评估周关节"普罗卡因复合物"注射与老年膝关节和关节骨关节炎患者的物理治疗相结合的疗效.
- 评估疼痛,日常功能和移动性的改善.
- 为了确定是否普罗卡因复合体提供了手术的安全和有效替代方案.
主要方法:
- 一项纵向短期研究,涉及177名患有OA的患者 (≥65岁).
- 随机组:物理治疗+注射"普罗卡因复合物" (n=101) 与单独进行物理治疗 (n=76).
- 结果措施包括视觉模拟尺度 (VAS) 疼痛,莱克斯内指数,ADL,IADL,CGA,步行测试",上去"测试,MMSE和GDS.
主要成果:
- 与对照组相比,普卡因复合体组显示出显著的疼痛减轻 (p < 0.001) 和改善的日常活动 (p < 0.001).
- 在行走测试得分中没有发现显著差异 (p = 0.171).
- 没有发现任何显著的不良影响;两组都显示出抑郁症症状有所改善.
结论:
- 与物理治疗相结合的周关节"procaine复合物"注射代表了OA疼痛管理的创新方法.
- 这种组合疗法为患有OA的老年人提供了安全有效的非手术选择.
- 治疗可以减少与骨关节炎相关的长期残疾.
相关概念视频
Analgesia and Pain Management
463
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
463
Restorative Care
1.9K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
1.9K


