Gallardo Juan A, Avellaneda Molina P J, Baeza López J M, Jiménez González M, Bonet Ferreiro M V, Casas Aranda I
Centro de Salud La Unión, Murcia.
Aten Primaria. 2000 Mar 31;25(5):331-4. doi: 10.1016/s0212-6567(00)78514-3.
To evaluate the effect of corticosteroid infiltrations in osteoarticular and tendinous pathology in Primary Care.
Observational and descriptive study.
La Unión Health Center, a town of 14,000 inhabitants in Murcia.
All patients older than 14 years subjected to one or more infiltrations from 1-1-1997 to 1-5-1998 were included. The following variables were analysed using information obtained from the patient's medical records: age, sex, condition treated, evolution time, previous treatment, number of infiltrations, results and complications. Descriptive statistics including frequency and distribution tables were calculated. The 70.3% of the 138 cases are women, the mean age is 57.7 years. Most infiltrations were performed for shoulder conditions (60.1%). The mean time of evolution in these cases was 90.9 +/- 13.9 days. Only 10.9% of patients hadn't received any previous treatment. The mean number of infiltrations is 1.5 +/- 0.7 and the middle is 1. Symptoms improved in 82.62% of the cases, just completely (40.6%) or partially (42%). Only in 17.4% cases failed the intervention. Only a complication was registered, one case of residual pigmentation.
The local corticosteroids infiltration is a useful technique in primary care because of a high effectivity, easy management, low cost and few complications.
评估在基层医疗中皮质类固醇注射治疗骨关节和肌腱疾病的效果。
观察性和描述性研究。
拉乌尼翁健康中心，位于穆尔西亚一个有14000名居民的城镇。
纳入了1997年1月1日至1998年5月1日期间接受过一次或多次注射的所有14岁以上患者。使用从患者病历中获取的信息分析以下变量：年龄、性别、治疗的疾病、病程、既往治疗、注射次数、结果及并发症。计算了包括频率和分布表在内的描述性统计数据。138例患者中70.3%为女性，平均年龄为57.7岁。大多数注射是针对肩部疾病进行的（60.1%）。这些病例的平均病程为90.9±13.9天。只有10.9%的患者此前未接受过任何治疗。平均注射次数为1.5±0.7次，中位数为1次。82.62%的病例症状得到改善，其中完全改善（40.6%）或部分改善（42%）。只有17.4%的病例干预失败。仅记录到1例并发症，1例残留色素沉着。
局部皮质类固醇注射在基层医疗中是一种有用的技术，因其有效性高、易于操作、成本低且并发症少。
