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硬膜外腔注射确炎舒松治疗强直性脊柱炎
Hits: 2067   Download times: 1347   Received:October 23, 2002    
作者Author单位UnitE-Mail
燕春山 YAN Chunshan 中国人民解放军第四○四医院,山东威海 264200 The 404th Hospital of PLA,Shandong Weihai 264200  
颜倜 YAN Ti 中国人民解放军第四○四医院,山东威海 264200 The 404th Hospital of PLA,Shandong Weihai 264200  
田常炎 TIAN Changyan 中国人民解放军第四○四医院,山东威海 264200 The 404th Hospital of PLA,Shandong Weihai 264200  
郝风廷 中国人民解放军第四○四医院,山东威海 264200 The 404th Hospital of PLA,Shandong Weihai 264200  
冯芳军 中国人民解放军第四○四医院,山东威海 264200 The 404th Hospital of PLA,Shandong Weihai 264200  
期刊信息:《中国骨伤》2003年16卷,第7期,第404-405页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:探讨硬膜外腔注射确炎舒松对强直性脊柱炎(AS)患者的治疗作用。

方法:64例AS患者按入院先后顺序被分为两组,治疗组采用硬膜外腔注射确炎舒松的方法;对照组采用腰部痛点注射确炎舒松的方法。每周注射1次,共注射2次。观察首次注射后到症状开始缓解时间,注射10d后腰痛缓解积分,Schober试验增加的距离,晨僵改善积分,并经t检验。

结果 上述观察指标中腰痛缓解积分、晨僵缓解积分治疗组(7.2±1.6,7.0±1.3)明显高于对照组(3.9±1.2,4.0±1.1),两组相差有显著性意义(P<0.001);注射后治疗组症状改善明显比对照组快(P<0.001);治疗组腰部活动度的改善好于对照组(P<0.01)。

结论:硬膜外腔注射确炎舒松可以快速缓解强直性脊柱炎患者腰背部症状,减轻疼痛,改善活动范围,防止或纠正脊柱畸形。
[关键词]:注射,硬膜外  曲安奈德  脊柱炎,强直性
 
Patients with ankylosing spondylitis were treated by Triamcinolone acetonide injection into epidural cavity
Abstract:

Objective:To investigate the effect of Triamcinolone acetonide injected into epidural cavity of patients with ankylosing spondylitis

Methods:64 cases with ankylosing spondylitis were divided into two groups by hospitalized order of sequence.The patients in the treated group were injected Triamcinolone acetonide into epidural cavity,the patients of the control group were injected same drug in pain point in waist.Two groups were injected again after a week.The pain-relieving time was observed,and pain scales and morning-stiff points were recorded after ten days of the injection.

Results:Compared with the control group,the pain scales and morning-stiff points were higher in the treated group(P<0.001).The symptoms improved in the treated group.

Conclusion:The method that Triamcinolone acetonide were injected into the epidural cavity of patients with ankylosing spondylitis can relieve back pain,improve the back symptoms and mobility.
KEYWORDS:Injection,epidural  Triamcinolone acetonide  Spondylitis,ankylosing
 
引用本文,请按以下格式著录参考文献:
中文格式:燕春山,颜倜,田常炎,郝风廷,冯芳军.硬膜外腔注射确炎舒松治疗强直性脊柱炎[J].中国骨伤,2003,16(7):404~405
英文格式:YAN Chunshan,YAN Ti,TIAN Changyan.Patients with ankylosing spondylitis were treated by Triamcinolone acetonide injection into epidural cavity[J].zhongguo gu shang / China J Orthop Trauma ,2003,16(7):404~405
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