Magaña Loarte J E, Pérez Franco J, Sánchez Sánchez G
Centro de Salud La Estación, Talavera de la Reina, Toledo.
Aten Primaria. 1999 Jan;23(1):4-7.
To study the feasibility of local infiltration in primary care consultations.
Before-and-after intervention study.
Two clinics at an urban health centre.
Patients diagnosed with pathology of tender areas and treated with corticosteroid infiltration between May 1997 and May 1998.
Corticoid infiltration plus local anaesthetic. Weekly check-up. Analysis of the variables: sex, age, diagnosis, time elapsed between indication and start of treatment, subjective assessment of pain before and after treatment (VRS scale), number of infiltrations per patient, side-effects. Evaluation of overall and individual effectiveness.
41 patients were infiltrated. Average age was 58. Most common pathologies were: rotary joint tendinitis (48.7%), anserine bursitis (24.4%), plantar fasciitis (7.3%). Average number of infiltrations per pathology: 1.3. Mean waiting time: 3.5 days. Comparison of pain by means of VRS (range 0-5) before and after treatment used the Wilcoxon test, with a statistically significant difference and p < 0.001 (z = -5.5109). For 35 patients (85.4%), pain was solved very well (values 0 and 1 on the VRS). For 3 patients (7.3%), improvement was moderate; and for 3 (7.3%) there was no improvement.
研究在初级保健会诊中进行局部浸润的可行性。
干预前后研究。
城市健康中心的两家诊所。
1997年5月至1998年5月期间被诊断为疼痛部位病变并接受皮质类固醇浸润治疗的患者。
皮质类固醇浸润加局部麻醉。每周检查。对变量进行分析：性别、年龄、诊断、指示与治疗开始之间经过的时间、治疗前后疼痛的主观评估（视觉模拟评分量表）、每位患者的浸润次数、副作用。评估总体和个体疗效。
41例患者接受了浸润治疗。平均年龄为58岁。最常见的病变为：旋转关节腱鞘炎（48.7%）、鹅足滑囊炎（24.4%）、足底筋膜炎（7.3%）。每种病变的平均浸润次数：1.3次。平均等待时间：3.5天。采用Wilcoxon检验对治疗前后通过视觉模拟评分量表（范围0 - 5）评估的疼痛进行比较，差异具有统计学意义，p < 0.001（z = -5.5109）。对于35例患者（85.4%），疼痛得到很好的解决（视觉模拟评分量表值为0和1）。对于3例患者（7.3%），改善程度中等；对于3例患者（7.3%），没有改善。
