宫外围注射类固醇注射的结果基于医生推来源
Josh Levin1,2, Nolan Gall1, John Chan1
1Department of Orthopaedic Surgery, Stanford University, 450 Broadway St., Pavilion C, 4th Floor, MC 6342, Redwood City, CA, 94063, United States.
Interventional pain medicine
|June 13, 2025
概括
接受宫外周类固醇注射 (ESI) 的患者在由执行该程序的医生转诊时有更好的结果. 这凸显了专家推对于最佳宫ESI成功率的重要性.
科学领域:
- 疼痛管理 疼痛管理
- 神经外科 神经外科
- 放射学 放射学是一门学科.
背景情况:
- 许多患者在没有进行手术的医生推后接受宫外周类固醇注射 (ESI).
- 这种做法引发了关于ESI程序最佳转介途径的问题.
研究的目的:
- 为了比较光学引导的宫ESI的成功率.
- 根据转诊医生是否经常进行ESI (A组) 或将程序转交给另一名医生 (B组) 来评估结果.
主要方法:
- 对连续接受宫跨 (TF) 或间 (IL) ESI的患者进行了回顾性观察性研究.
- 患者的疼痛评分 (数值评分表 - NRS) 在注射前和注射后60天内进行评估.
- 成功被定义为NRS疼痛评分>50%的改善.
主要成果:
- 宫ESI的整体成功率为52%.
- A组 (由执行医生推) 的成功率为57%,明显高于B组 (38%).
- 组A也有较高的比例的患者实现至少80%的疼痛缓解 (31%对17%).
结论:
- 宫ESI的结果更好,当患者被经常执行该程序的医生转诊时.
- 这表明,医生的专业知识和在评估和程序中直接参与可能会提高治疗成功率.
- 优化转诊模式可以改善宫ESI患者的结果.
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