青少年特发性关节炎的关节内皮质类固醇注射
Intra-articular corticosteroid injections in juvenile idiopathic arthritis.
作者信息
Cleary A G, Murphy H D, Davidson J E
机构信息
Royal Liverpool Children's Hospital, Eaton Road, Liverpool L12 2AP, UK.
出版信息
Arch Dis Child. 2003 Mar;88(3):192-6. doi: 10.1136/adc.88.3.192.
Abstract
Therapeutic intervention with intra-articular steroid injections in juvenile idiopathic arthritis (JIA) has evolved from experience with adults with inflammatory joint disease, with the earliest report being published in 1951. The technique has subsequently been introduced into paediatric rheumatology practice, although much of the evidence supporting its use remains anecdotal or based on open, non-controlled studies. This review examines the body of evidence relating to many aspects of treating children with JIA with intra-articular steroids, and is approached from both a medical and a physiotherapy perspective. Where appropriate, important areas for future research are identified and discussed.
摘要
青少年特发性关节炎（JIA）关节内注射类固醇的治疗干预源于对成人炎性关节病的经验，最早的报告发表于1951年。该技术随后被引入儿科风湿病学实践，尽管支持其使用的许多证据仍为轶事性的或基于开放的、非对照研究。本综述从医学和物理治疗的角度审视了与用关节内类固醇治疗JIA患儿诸多方面相关的证据。在适当的情况下，确定并讨论了未来研究的重要领域。
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本文引用的文献
1
Hydrocortisone and cortisone injected into arthritic joints; comparative effects of and use of hydrocortisone as a local antiarthritic agent.
J Am Med Assoc. 1951 Dec 22;147(17):1629-35. doi: 10.1001/jama.1951.03670340019005.
2
Nitrous oxide analgesia during intra-articular injection for juvenile idiopathic arthritis.
Arch Dis Child. 2002 Jun;86(6):416-8. doi: 10.1136/adc.86.6.416.
3
Factors affecting the efficacy of intraarticular corticosteroid injection of knees in juvenile idiopathic arthritis.
J Rheumatol. 2001 Sep;28(9):2100-2.
4
A subgroup-specific evaluation of the efficacy of intraarticular triamcinolone hexacetonide in juvenile chronic arthritis.
J Rheumatol. 2000 Nov;27(11):2696-702.
5
What's new in the diagnosis and treatment of juvenile rheumatoid arthritis.
J Pediatr Orthop. 2000 Jul-Aug;20(4):419-20.
6
Prevention of leg length discrepancy in young children with pauciarticular juvenile rheumatoid arthritis by treatment with intraarticular steroids.
Arthritis Rheum. 1999 Nov;42(11):2330-4. doi: 10.1002/1529-0131(199911)42:11<2330::AID-ANR11>3.0.CO;2-B.
7
On beyond methotrexate treatment of severe juvenile rheumatoid arthritis.
Clin Exp Rheumatol. 1999 Jul-Aug;17(4):499-504.
8
Juvenile arthritis with oligoarticular onset.
Baillieres Clin Rheumatol. 1998 May;12(2):273-86. doi: 10.1016/s0950-3579(98)80019-8.
9
Revision of the proposed classification criteria for juvenile idiopathic arthritis: Durban, 1997.
J Rheumatol. 1998 Oct;25(10):1991-4.
10
Intra-articular corticosteroids in the treatment of juvenile rheumatoid arthritis.
Curr Opin Rheumatol. 1998 Sep;10(5):475-80. doi: 10.1097/00002281-199809000-00013.
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