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依那西普与关节内皮质类固醇注射治疗类风湿关节炎的比较:双盲、随机先导研究。

Etanercept compared to intraarticular corticosteroid injection in rheumatoid arthritis: double-blind, randomized pilot study.

机构信息

Rheumatology Department, Hospital l'Archet 1, 242 Route de Saint Antoine de Ginestiere, 06200 Nice, France.

出版信息

J Rheumatol. 2011 Jun;38(6):1009-11. doi: 10.3899/jrheum.100828. Epub 2011 Mar 16.

DOI:10.3899/jrheum.100828
PMID:21406499
Abstract

OBJECTIVE

To compare etanercept (anti-tumor necrosis factor-α) with intraarticular (IA) corticosteroid injections to treat rheumatoid arthritis (RA).

METHODS

Patients with RA who had persistent monoarthritis received etanercept or IA corticosteroid injections. Efficacy was compared at Weeks 4 and 24.

RESULTS

Thirty-four patients were included (8 dropped out). Mean age was 58.8 years. No difference between groups was found at Weeks 4 or 24, but both groups showed significant improvement at Weeks 4 and 24 compared to baseline.

CONCLUSION

Etanercept and IA steroid injections resulted in significant improvement at Week 4 that persisted to Week 24. There was no significant difference in outcome between the groups.

摘要

目的

比较依那西普(抗肿瘤坏死因子-α)与关节内(IA)皮质类固醇注射治疗类风湿关节炎(RA)的效果。

方法

患有持续性单关节炎的 RA 患者接受依那西普或 IA 皮质类固醇注射治疗。在第 4 周和第 24 周比较疗效。

结果

34 例患者入选(8 例脱落)。平均年龄为 58.8 岁。第 4 周和第 24 周时两组间无差异,但与基线相比,两组在第 4 周和第 24 周均有显著改善。

结论

依那西普和 IA 类固醇注射在第 4 周时显著改善,并持续至第 24 周。两组的结果无显著差异。

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