在老年膝关节骨关节炎患者中,中央敏感性是否会影响对生殖器射频和关节内注射的反应?
Ahmet Başarı1, Ayşe Seda Eren Zeydoğlu1
1Department of Algology, Kayseri City Hospital, Kayseri, Türkiye.
概括
中枢敏感性显著降低了老年人膝关节骨关节炎 (OA) 的治疗效果. 查中心敏感性可能会改善个性化治疗计划,以改善疼痛管理和功能.
科学领域:
- 老年医学 老年医学
- 疼痛管理 疼痛管理
- 再生医学是一种再生医学.
背景情况:
- 膝关节关节炎 (OA) 是老年人残疾的主要原因.
- 阴茎神经的射频剥离和关节内注射是常见的OA治疗方法.
- 中心敏感性可能会影响OA患者的治疗结果.
研究的目的:
- 评估中心敏感度水平对老年膝盖骨关节炎患者治疗反应的影响.
- 根据中央敏感化,评估生殖神经射频切除和关节内注射的疗效.
- 为了确定中央敏感化库存 (CSI) 评分是否能预测治疗结果.
主要方法:
- 对37名65岁以上膝关节OA患者进行了回顾性队列研究.
- 根据CSI得分 (<40和≥40) 患者被分为两组.
- 所有患者都接受了生殖神经射频切除和关节内注射,结果在基线和1,3个月评估.
主要成果:
- 所有患者在治疗后都显示出显著的临床改善 (p<0.001).
- 与较低得分 (p<0.001) 的患者相比,具有较高的CSI得分 (≥40) 的患者在疼痛,功能,睡眠和行走能力方面的改善明显较低.
- 回归分析证实,在所有测量参数上,较高的CSI得分预测治疗反应较差.
结论:
- 在老年人中,提高的中央敏感性显著损害了对生殖神经切除和注射膝关节OA的临床反应.
- 中央敏感化库存 (CSI) 可以识别可能具有低于最佳结果的患者.
- 将CSI查纳入治疗计划可能有助于个性化和更有效的OA管理策略.
相关概念视频
01:24Role of Affect in Interpersonal Attraction
222
Affect plays a crucial role in shaping interpersonal evaluations and perceptions. Emotions influence how individuals judge and respond to others, often determining whether interactions are viewed positively or negatively. This effect can manifest directly through interactions with the person in question or indirectly via associations with unrelated emotional experiences.Direct Effects of Affect on AttractionAffect directly influences interpersonal attraction when a person’s behavior...
222
02:16Measures of Central Tendency
21.1K
The "center" of a data set is also a way of describing location. The two most widely used measures of the "center" of the data are the mean (average) and the median. The words "mean" and "average" are often used interchangeably. The substitution of one word for the other is common practice. The technical term is "arithmetic mean" and "average" is technically a center location. However, in practice among non-statisticians,...
21.1K
01:23Knee Joint
3.2K
The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
3.2K
01:29The Influence of Affect on Cognition
281
Positive affect significantly influences cognitive processes, including evaluation, memory, creativity, and social judgments. Compared to negative affect, positive emotional states promote more favorable interpretations of stimuli, cognitive flexibility, and heuristic processing. These effects highlight emotions' powerful role in shaping how individuals perceive, remember, and interact with the world.Influence on Evaluation and AttributionWhen individuals experience positive affect, they are...
281
01:29The Influence of Cognition on Affect
212
Cognition plays a pivotal role in shaping emotional experiences, as demonstrated by Schachter and Singer’s two-factor theory of emotion. According to this model, emotion arises from a combination of physiological arousal and cognitive interpretation. The body’s physiological response to stimuli is ambiguous and only gains emotional significance through cognitive labeling. For instance, an increased heart rate and adrenaline surge while standing near an attractive person may be...
212
01:25The Central Dogma
139.7K
Overview
139.7K