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关节内注射皮质类固醇联合关节镜灌洗对膝部炎性关节炎患者的长期疗效

[Prolonged effect of intra-articularly administered corticosteroids in combination with arthroscopic lavage in patients with an inflammatory arthritis of the knee].

作者信息

Gerlag D M, Tak P P

机构信息

Academisch Medisch Centrum/Universiteit van Amsterdam, afd. Klinische Immunologie en Reumatologie, Amsterdam.

出版信息

Ned Tijdschr Geneeskd. 2008 Sep 6;152(36):1953-5.

Abstract

Arthroscopic lavage of a joint with saline followed by the administration of corticosteroids intra-articularly could lead to an improved functioning of the joint. In a recent study published in this issue the results of arthrocentesis with intra-articular administration of corticosteroids was compared with lavage with or without intra-articular administration of corticosteroids in patients with a non-infectious inflammatory arthritis of the knee joint. The results confirm earlier reports, which demonstrated that the beneficial therapeutic effects of corticosteroids administered intra-articularly can be prolonged by a therapeutic lavage in patients with non-infectious inflammatory arthritis, provided the lavage is performed with a sufficient amount of saline.

摘要

用生理盐水对关节进行关节镜灌洗,然后关节内注射皮质类固醇,可改善关节功能。在本期发表的一项最新研究中,对膝关节非感染性炎性关节炎患者进行关节穿刺并关节内注射皮质类固醇的结果,与进行或不进行关节内注射皮质类固醇的灌洗结果进行了比较。结果证实了早期的报告,即对于非感染性炎性关节炎患者,只要用足量生理盐水进行灌洗,关节内注射皮质类固醇的有益治疗效果可通过治疗性灌洗得以延长。

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