Widiastuti-Samekto M, Sianturi G P
Department of Anatomy and Neurology, Faculty of Medicine Diponegoro University/Dr. Kariadi General Hospital, Semarang, Indonesia.
Med J Malaysia. 2004 Aug;59(3):312-6.
Twenty-six patients with frozen shoulder syndrome (Stage 2 and 3) were included in this study conducted at Dr. Kariadi General Hospital, Semarang, Indonesia and randomly allocated into 2 groups: 40 mg triamcinolone intra-articular injection and triamcinolone oral tablets. The result showed that triamcinolone intra-articular injection group "cured" rate was 5.8 times higher at week one compared to the triamcinolone tablet group. Sixty-two percent of the cases with triamcinolone intra-articular injection achieved their "cured" condition after one week of therapy, compared with only 14% of the triamcinolone tablets group. We conclude that, intra-articular corticosteroid injection provide faster improvement compared to oral route.
本研究纳入了26例肩周炎综合征(2期和3期)患者,该研究在印度尼西亚三宝垄的卡里阿迪综合医院进行,患者被随机分为两组:一组接受40毫克曲安奈德关节腔内注射,另一组接受曲安奈德口服片剂治疗。结果显示,在第一周时,曲安奈德关节腔内注射组的“治愈”率比曲安奈德片剂组高5.8倍。接受曲安奈德关节腔内注射治疗的患者中有62%在治疗一周后达到“治愈”状态,而曲安奈德片剂组只有14%。我们得出结论,与口服途径相比,关节腔内注射皮质类固醇能更快改善病情。