O'Gradaigh D, Merry P
Department of Rheumatology, Addenbrooke's Hospital, Cambridge CB2 2QQ, UK.
Ann Rheum Dis. 2000 Nov;59(11):918-9. doi: 10.1136/ard.59.11.918.
To compare low and high dose, and short and long acting corticosteroids in the treatment of carpal tunnel syndrome.
A randomised, controlled, single blind trial with electromyographic and subjective outcome measures.
25 mg hydrocortisone is as effective as higher doses or long acting triamcinolone at a six week and six month follow up.
As low dose steroid is as effective, and potentially less toxic, this should be the recommended dose for injection of carpal tunnel syndrome.
比较低剂量和高剂量以及短效和长效皮质类固醇治疗腕管综合征的效果。
一项采用肌电图和主观结果测量的随机对照单盲试验。
在六周和六个月的随访中,25毫克氢化可的松与更高剂量或长效曲安奈德效果相同。
由于低剂量类固醇同样有效且潜在毒性较小,因此应将其作为腕管综合征注射治疗的推荐剂量。