成年触发数字的基于证据的管理策略:随机对照试验的系统审查和网络元分析
Chen-Hao Chiang1, Wen-Chih Liu2, Zih-Han Wu3
1Department of Orthopedics, Ditmanson Medical Foundation Chia-Yi Christian Hospital 600566, Chiayi, Taiwan; Department of Microbiology, Immunology and Biopharmaceuticals, College of Life Sciences, National Chia-Yi University 600048, Chiayi, Taiwan; Department of Orthopedics, Ditmanson Medical Foundation Chia-Yi Christian Hospital 600566, Chiayi, Taiwan.
Annals of physical and rehabilitation medicine
|February 15, 2026
概括
穿皮释放为触发指提供了最高的成功率,显著超过类固醇注射. 非手术选择,如类固醇注射,NSAID注射和体外冲击波疗法也是有效的替代方案.
科学领域:
- 整形外科 整形外科 整形外科
- 手术手术手术手术手术
- 肌肉骨系统疾病 肌肉骨系统疾病
背景情况:
- 触发指,一种机械状况,涉及由于A1轮变厚而导致手指敲击或锁定.
- 这种情况会影响手指的正常机制,并可能导致疼痛和功能障碍.
研究的目的:
- 为了比较触发指的各种治疗选择的有效性.
- 为了评估手术与非手术干预对于触发指和指的条件.
主要方法:
- 一个对27项随机对照试验 (RCT) 的网络元分析,涉及2099名参与者.
- 在PubMed,Embase和Cochrane图书馆搜索到到2025年7月29日的触发数字治疗的RCT.
- 将治疗成功作为几率比率 (OR) 和疼痛水平作为平均差异 (MD) 汇总在一起.
主要成果:
- 通过皮肤释放的治疗成功概率最高,比类固醇注射更高 (OR = 22.82).
- 与类固醇注射相比,通过皮肤释放观察到显著的疼痛缓解 (MD = -0.94).
- 类固醇注射,NSAID注射和体外冲击波疗法 (ESWT) 比安慰剂更成功,它们之间没有显著差异.
结论:
- 手术干预,特别是皮肤穿释放,在触发指方面表现出比非手术选择更高的疗效.
- 类固醇注射,NSAID注射和ESWT是管理触发指的可行的非手术替代方案.
- 在任何被评估的治疗方法中都没有报告严重并发症.
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