Hammer M, Schwarz T, Ganser G
Klinik für Rheumatologie, St. Josef-Stift, Westtor 7, 48324, Sendenhorst, Deutschland.
Z Rheumatol. 2015 Nov;74(9):774-9. doi: 10.1007/s00393-015-1626-x.
Intra-articular injections with glucocorticoids are standard procedures according to therapy guidelines in many rheumatic conditions. There is increasing evidence from clinical trials on the treatment of rheumatoid arthritis that more patients will attain the target of remission using a combination of systemic medication and intra-articular injections with glucocorticoids compared to systemic medication alone. Intra-articular injections with glucocorticoids play an important role in the therapeutic management of pediatric rheumatic diseases. In many countries competency in performing intra-articular injections is among the important skills necessary for certification as a specialist in rheumatology.
根据许多风湿性疾病的治疗指南，关节内注射糖皮质激素是标准治疗程序。越来越多关于类风湿关节炎治疗的临床试验证据表明，与单独使用全身药物相比，更多患者通过联合使用全身药物和关节内注射糖皮质激素能够达到缓解目标。关节内注射糖皮质激素在儿童风湿性疾病的治疗管理中发挥着重要作用。在许多国家，进行关节内注射的能力是获得风湿病专科医生认证所需的重要技能之一。
