超声引导下肌肉骨骼注射中的血管迷走反应：一项对2462例操作的研究。
Vasovagal reactions in ultrasound guided musculoskeletal injections: A study of 2,462 procedures.
作者信息
Al-Assam H, Azzopardi C, McGarry S, Botchu R
机构信息
Departments of Musculoskeletal Radiology, Royal Orthopaedic Hospital, Birmingham, UK.
出版信息
J Clin Orthop Trauma. 2021 Nov 16;24:101706. doi: 10.1016/j.jcot.2021.101706. eCollection 2022 Jan.
OBJECTIVE
to determine the rate of the vasovagal reaction (VVR) in ultrasound guided musculoskeletal injections (USGIs) and to investigate effect of injection site, age, and gender on this rate.
MATERIAL AND METHODS
Retrospective analysis of all USGIs performed from the 1st of January 2019 to the 31st of December 2019 in single tertiary orthopaedic hospital. Two thousand four hundred and sixty two consecutive subjects undergoing USGIs were included. Statistical analysis used to determine the rate of the overall VVR in USGIs and to determine if site of the injection or joint injected has an effect on this rate as well as age and gender effect.
RESULTS
Overall rate of VVR was 2.3% with shoulder and small joints of the hands and feet are more commonly affected than other sites. Females and patients aged younger than 65 years may be subjected to higher rate of VVR.
CONCLUSIONS
VVR has an overall low occurrence in USGI. The higher rate of VVR for shoulder and small joints of hands and feet procedures. Care should be taken when positioning a patient prior to the procedure to allow for a VVR in case it happens. VVR are more likely to occur in females and less likely in age more than 65 years.
目的
确定超声引导下肌肉骨骼注射（USGIs）时血管迷走反应（VVR）的发生率，并研究注射部位、年龄和性别对该发生率的影响。
材料与方法
对一家三级骨科专科医院在2019年1月1日至2019年12月31日期间进行的所有超声引导下肌肉骨骼注射进行回顾性分析。纳入连续接受超声引导下肌肉骨骼注射的2462名受试者。采用统计分析来确定超声引导下肌肉骨骼注射中总体血管迷走反应的发生率，并确定注射部位或注射关节是否对该发生率有影响，以及年龄和性别的影响。
结果
血管迷走反应的总体发生率为2.3%，肩部以及手足小关节比其他部位更常受到影响。女性和年龄小于65岁的患者血管迷走反应的发生率可能更高。
结论
在超声引导下肌肉骨骼注射中血管迷走反应总体发生率较低。肩部以及手足小关节注射时血管迷走反应的发生率较高。在操作前安置患者体位时应小心，以便在血管迷走反应发生时做好应对准备。血管迷走反应在女性中更易发生，而在65岁以上人群中则较少发生。
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