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用于关节和软组织疾病的注射剂:何时以及如何使用

Injections for joint and soft tissue disorders: when and how to use them.

作者信息

Zuckerman J D, Meislin R J, Rothberg M

机构信息

Hospital for Joint Diseases Orthopaedic Institute, New York.

出版信息

Geriatrics. 1990 Apr;45(4):45-52, 55.

PMID:2180787
Abstract

Joint and soft tissue injections may be the only way to differentiate various arthritic disorders, accurately identify a septic joint, and apply focused treatment. Certain considerations can make these injections safer and more effective. This article reviews the principles of diagnostic and therapeutic use of joint and soft tissue injections and makes specific recommendations for common injection sites. Also described are appropriate aseptic techniques for aspirating and injecting joints, bursae, and soft tissue, as well as the judicious use of corticosteroid injections in this age group.

摘要

关节和软组织注射可能是鉴别各种关节炎性疾病、准确识别化脓性关节以及进行针对性治疗的唯一方法。某些注意事项可使这些注射更安全、更有效。本文回顾了关节和软组织注射的诊断和治疗应用原则,并针对常见注射部位提出了具体建议。还介绍了抽吸和注射关节、滑囊及软组织的适当无菌技术,以及在该年龄组中合理使用皮质类固醇注射剂的方法。

相似文献

1
Injections for joint and soft tissue disorders: when and how to use them.用于关节和软组织疾病的注射剂:何时以及如何使用
Geriatrics. 1990 Apr;45(4):45-52, 55.
2
Joint and soft-tissue arthrocentesis.关节和软组织关节穿刺术。
Prim Care. 1993 Dec;20(4):757-70.
3
Injections of joints and soft tissue: Part I. General guidelines.
Am Fam Physician. 1991 Oct;44(4):1196-202.
4
Injections of joints and soft tissue: Part II. Guidelines for specific joints.关节和软组织注射:第二部分。特定关节的指南。
Am Fam Physician. 1991 Nov;44(5):1690-701.
5
Diagnostic and therapeutic injection of the ankle and foot.踝关节和足部的诊断性及治疗性注射
Am Fam Physician. 2003 Oct 1;68(7):1356-62.
6
Intra-articular and soft tissue injections.关节内及软组织注射。
Aust Fam Physician. 1990 May;19(5):671-5, 678; 680-2.
7
Joint aspiration and injection and synovial fluid analysis.关节穿刺注射及滑液分析
Best Pract Res Clin Rheumatol. 2009 Apr;23(2):161-92. doi: 10.1016/j.berh.2009.01.003.
8
Corticosteroid injections and arthrocentesis.皮质类固醇注射与关节穿刺术。
Can Fam Physician. 2002 Feb;48:285-92.
9
Prognostic significance of synovial fluid analysis in estimating the efficacy of intra-articular corticosteroid injection in patients with spondylarthropathy.关节液分析在评估脊柱关节病患者关节内注射皮质类固醇疗效中的预后意义。
Eur J Rheumatol Inflamm. 1994;14(2):1-4.
10
Injection techniques for common arm disorders.常见手臂疾病的注射技术。
Aust Fam Physician. 1984 Feb;13(2):108, 110-1.

引用本文的文献

1
Hand Corticosteroid Injections in Patients on "Blood Thinners".手部皮质类固醇注射治疗“抗凝药物”使用者。
Hand (N Y). 2020 Nov;15(6):837-841. doi: 10.1177/1558944719831379. Epub 2019 Mar 17.
2
[Local corticoid infiltrations at a health center].[某健康中心的局部皮质类固醇注射]
Aten Primaria. 2000 Oct 15;26(6):428-9. doi: 10.1016/s0212-6567(00)78694-x.
3
Steroid injections for shoulder disorders: a systematic review of randomized clinical trials.用于肩部疾病的类固醇注射:随机临床试验的系统评价
Br J Gen Pract. 1996 May;46(406):309-16.