圣关节疼痛的管理:当前的概念
Filippo Migliorini1,2,3, Ludovico Lucenti4, Tommaso Bardazzi5
1Department of Trauma and Reconstructive Surgery, University Hospital in Halle, Halle, Germany. Filippo.Migliorini@uk-halle.de.
概括
管理关节 (SIJ) 疼痛是复杂的,因为不一致的证据. 治疗选择范围从保守护理和物理治疗到注射和手术,需要更明确的指导方针.
科学领域:
- 疼痛管理 疼痛管理
- 肌肉骨系统疾病 肌肉骨系统疾病
- 系统审查是系统的审查.
背景情况:
- 关节 (SIJ) 疼痛管理缺乏国际公认的建议和明确的治疗算法.
- 关于SIJ疼痛管理策略的现有证据有限且不一致.
- 管理选项的进步需要对当前证据进行更新的评估.
研究的目的:
- 系统地审查和评估现有证据,以管理神经关节 (SIJ) 疼痛的策略.
- 提供SIJ疼痛管理选项的最新概述.
- 发现当前研究中的差距,并指导未来的研究.
主要方法:
- 按照2020年PRISMA声明指南进行系统审查.
- 包括所有关于SIJ疼痛的临床管理的临床研究.
- 在Web of Science,PubMed和Embase上进行数据搜索,没有过器或时间限制.
主要成果:
- 分析了15项随机对照试验,13项临床试验和10项涉及2666名患者的回顾性研究.
- 非手术治疗包括物理治疗和药物 (NSAIDs) 来减少炎症和疼痛.
- 干预选项包括光学引导的SIJ注射 (类固醇,干细胞),射频变质和耐火病例的手术融合.
结论:
- 由于有限和不一致的证据,SIJ疼痛管理具有挑战性,从保守到侵入性治疗的进展.
- 目前的研究局限性包括样本规模小,随访时间短,方法方法多样.
- 高质量的未来研究对于建立诊断/治疗指南和探索再生医学等新疗法至关重要.
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