López-Marina V, Pizarro-Romero G, Costa-Bardají N, Mata-Navarro A, Vázquez-Blanco J R
Area Básica de Salud de Piera, Servicio de Atención Primaria de Anoia, Instituto Catalán de la Salud, Piera, Barcelona, Spain.
Aten Primaria. 2005 Dec;36(10):544-9. doi: 10.1016/s0212-6567(05)70564-3.
To describe the evolution of the pain and the functional impotence in the articular and periarticular pathology after to infiltrate with local corticosteroid and anaesthetic; to analize the number of discharge certificates that maybe to give in the patients with employment transitory incapacity (ETI) during the first week post-infiltration.
Intervention without control group.
Semiurban primary care physician's practices (ABS Piera).
Men and women elder than 18 years old, with articular and periarticular pathology.
Were infiltrated with local triamcinolone acetonid and bupivacain 2% 65 patients.
Were gathered socio-demographic factors, diagnostic, response, number of infiltrations for patient, secondary effects, and number of discharge certificates that were given in the patients in ETI situation during the first week post-infiltration.
Were infiltrated predominantly men (57%) with 31-65 years old (67.7%), employed (70.7%) in manual works (78.4%). Rotary joint tendinitis (46.2%) and epicondylitis (27.7%) were the most common diagnostics. Mean and CI (95%) obtained in the VAS for pain were: initially, 8.8 (7.4-9.8); week, 1.4 (1-1.8); 3 months, 2.2 (1.3-3.1), and year, 2.3 (1.1-3.5). Mean and CI (95%) found for functional impotence were: initially, 8.2 (6.7-9.7); week, 0.9 (0.7-1.1); 3 months, 1.2 (0.9-1.5), and year, 1.6 (1.4-1.8). The number of infiltrations for patient was 1.6. Hadn't important secondary effects. Were given 19 discharge certificates in 25 patients with ETI in the first week post-infiltration.
The patients diminished the pain and the functional impotence in the articular and periarticular pathology after of the infiltration, allowing to give an elevate number of discharge certificates during the first week post-infiltration.
描述局部注射皮质类固醇和麻醉剂后关节及关节周围病变中疼痛和功能障碍的演变情况；分析在注射后第一周可能给予暂时丧失工作能力（ETI）患者的出院证明数量。
无对照组的干预研究。
半城市初级保健医生诊所（ABS皮耶拉）。
18岁以上患有关节及关节周围病变的男性和女性。
对65例患者进行局部曲安奈德和2%布比卡因注射。
收集社会人口统计学因素、诊断结果、反应情况、每位患者的注射次数、副作用以及注射后第一周处于ETI状态患者的出院证明数量。
主要为年龄在31 - 65岁（67.7%）的男性（57%），从事体力劳动（78.4%）且有工作（70.7%）。旋转肌腱炎（46.2%）和肱骨外上髁炎（27.7%）是最常见的诊断。疼痛视觉模拟评分（VAS）的均值及95%置信区间（CI）为：初始时8.8（7.4 - 9.8）；一周后1.4（1 - 1.8）；3个月后2.2（1.3 - 3.1）；一年后2.3（1.1 - 3.5）。功能障碍的均值及95%置信区间（CI）为：初始时8.2（6.7 - 9.7）；一周后0.9（0.7 - 1.1）；3个月后1.2（0.9 - 1.5）；一年后1.6（1.4 - 1.8）。每位患者的注射次数为1.6次。无严重副作用。在注射后第一周，25例ETI患者中有19例获得出院证明。
注射后，关节及关节周围病变患者的疼痛和功能障碍减轻，使得在注射后第一周能够开具更多的出院证明。
