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识别,预防和管理与关节内氨酸治疗类相关的不良反应:德尔菲方法
Megan Agnew1,2, Daniel M Cushman3,4, Stephanie Kliethermes1,2
1Department of Orthopedics and Rehabilitation, University of Wisconsin-Madison, Madison, Wisconsin.
概括
专家们达成共识,关于如何管理关节内注射氨酸 (粘性补充剂) 的不良反应. 大多数反应都源于药物管理,严重事件如关节感染是罕见的,指导临床实践.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 类风湿病学 类风湿病学
背景情况:
- 关节内氨酸 (粘性补充剂) 广泛用于关节疼痛.
- 可能会出现不良反应,需要明确的管理准则.
研究的目的:
- 为了在识别,管理和治疗关节内注射氨酸的不良反应方面达成专家共识.
主要方法:
- 在33名体育医学医生身上,采用了虚拟的Delphi方法.
- 在专家小组的人口统计,临床经验和关于不良事件的信念方面达成了共识.
主要成果:
- 实现了高完成率 (97%).
- 大多数不良反应归因于注射技术,而不是氨酸本身.
- 严重反应 (关节感染,伪传染) 被认为是罕见的;轻度/中度反应已经确定了预防/治疗策略.
结论:
- 为临床医生管理与粘性补充相关的不良反应提供专家驱动的指导.
- 建议仅在伪传染性反应和关节感染的情况下停止粘性补充剂.
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