Royal Preston Hospital, Preston UK and Manchester Royal Infirmary, Manchester, UK.
Emerg Med J. 2017 Oct;34(10):687-689. doi: 10.1136/emermed-2017-207129.1.
A short cut review was carried out to establish whether corticosteroids are safe and effective in managing the symptoms of acute gouty arthritis. Five studies were directly relevant to the question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these papers are tabulated. The clinical bottom line is that corticosteroids are an effective and safe alternative to non steroidal anti inflammatory drugs (NSAIDs) in patients presenting with acute gouty arthritis.
一篇简短的综述评估了皮质类固醇在治疗急性痛风性关节炎症状方面的安全性和有效性。有 5 项研究直接与该问题相关。这些文献的作者、日期和出版国家、研究的患者群体、研究类型、相关结局、结果以及研究局限性都被制成表格。临床底线是,对于急性痛风性关节炎发作的患者,皮质类固醇是一种有效且安全的非甾体抗炎药(NSAIDs)替代药物。