文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

颈椎经椎间孔硬膜外类固醇注射术后疼痛与功能改善情况的观察性研究

Benefit of pain and function after cervical transforaminal epidural steroid injections, an observational study.

作者信息

Goyal Kush K, Kristoff Tyler J, Sinopoli Jacob T, Abbott Matthew, Thompson Nicolas R, Koech Hilary, Rabah Nicholas

机构信息

Center for Spine Health, Neurological Institute, Cleveland Clinic, Cleveland, USA.

J. Willis Hurst Internal Medicine Residency Program, Emory University School of Medicine, Atlanta, USA.

出版信息

Interv Pain Med. 2023 Nov 23;2(4):100299. doi: 10.1016/j.inpm.2023.100299. eCollection 2023 Dec.


DOI:10.1016/j.inpm.2023.100299
PMID:39239213
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11372913/
Abstract

OBJECTIVE: To evaluate the improvement of pain and function after cervical transforaminal epidural steroid injections (CTFESI) for radicular pain. DESIGN: This is a retrospective observational study of patients receiving fluoroscopically-guided cervical transforaminal epidural steroid injections under a single provider at a tertiary referral center from December 2013 to December 2020. Primary outcome measures were Numeric Rating Scale (NRS), patient reported percent of pain relief, the Patient Health Questionnaire, the Patient Reported Outcome Measurement Information System (PROMIS) Global Health Physical and Mental Health score, and the Pain Disability Questionnaire. RESULTS: A total of 219 individual patients underwent 261 CTFESI and were included in the analyses. The average subject age was 51.9 years (SD = 11.3) and 50.9 % were male. Following the intervention, average pain relief by NRS at 3 months, 6 months, 1 year, and 2 years was -4.07, -3.82, -4.20, and -4.45, respectively. The average functional improvement with PROMIS-GH physical at 3-months, 6-months, 1- year, and 2-years was 2.23, 2.35, 3.15, and 3.29, respectively. CONCLUSIONS: Our results suggest that patients with cervical radiculopathy report significant pain relief and functional improvement following CTFESI. They can also report clinically important improvement in their health-related quality of life.

摘要

目的:评估经椎间孔颈椎硬膜外类固醇注射(CTFESI)治疗神经根性疼痛后疼痛和功能的改善情况。 设计:这是一项回顾性观察研究,研究对象为2013年12月至2020年12月在一家三级转诊中心由单一提供者在透视引导下接受经椎间孔颈椎硬膜外类固醇注射的患者。主要结局指标包括数字评定量表(NRS)、患者报告的疼痛缓解百分比、患者健康问卷、患者报告结局测量信息系统(PROMIS)全球健康身体和心理健康评分以及疼痛残疾问卷。 结果:共有219例个体患者接受了261次CTFESI,并纳入分析。受试者平均年龄为51.9岁(标准差=11.3),男性占50.9%。干预后,3个月、6个月、1年和2年时NRS评定的平均疼痛缓解分别为-4.07、-3.82、-4.20和-4.45。PROMIS-GH身体功能在3个月、6个月、1年和2年时的平均功能改善分别为2.23、2.35、3.15和3.29。 结论:我们的结果表明,颈椎神经根病患者在接受CTFESI后报告疼痛明显缓解且功能得到改善。他们还报告了与健康相关的生活质量有临床意义的改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f851/11372913/00ce7a362be0/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f851/11372913/030f4ff275f5/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f851/11372913/49c2a7dd1b5d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f851/11372913/00ce7a362be0/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f851/11372913/030f4ff275f5/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f851/11372913/49c2a7dd1b5d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f851/11372913/00ce7a362be0/gr3.jpg

相似文献

[1]
Benefit of pain and function after cervical transforaminal epidural steroid injections, an observational study.

Interv Pain Med. 2023-11-23

[2]
The effectiveness of ultrasound-guided cervical transforaminal epidural steroid injections in cervical radiculopathy: a prospective pilot study.

J Pain Res. 2018-12-31

[3]
Does the Contrast Dispersion Pattern During Fluoroscopically Guided Cervical Transforaminal Epidural Steroid Injection Predict Short-Term Pain and Functional Outcomes? An Exploratory Analysis of Prospective Cohort Data.

Pain Med. 2020-12-25

[4]
The effectiveness of cervical transforaminal epidural steroid injections for the treatment of cervical radicular pain: A prospective cohort study reporting 12-month outcomes.

Interv Pain Med. 2023-12-22

[5]
A Randomized Comparative Trial of Targeted Steroid Injection via Epidural Catheter vs Standard Transforaminal Epidural Injection for the Treatment of Unilateral Cervical Radicular Pain: Six-Month Results.

Pain Med. 2020-10-1

[6]
Epidural steroids in the management of chronic spinal pain: a systematic review.

Pain Physician. 2007-1

[7]
The Effectiveness of Fluoroscopically Guided Cervical Transforaminal Epidural Steroid Injection for the Treatment of Radicular Pain; a Systematic Review and Meta-analysis.

Pain Med. 2020-1-1

[8]
Transforaminal epidural steroid injections in lumbosacral radiculopathy: a prospective randomized study.

Spine (Phila Pa 1976). 2002-1-1

[9]
Effectiveness of transforaminal epidural steroid injections in patients with degenerative lumbar scoliotic stenosis and radiculopathy.

Pain Physician. 2004-7

[10]
One-year results from a randomized comparative trial of targeted steroid injection via epidural catheter versus standard transforaminal epidural injection for the treatment of unilateral cervical radicular pain.

Reg Anesth Pain Med. 2021-9

引用本文的文献

[1]
Rates of complications after cervical transforaminal epidural steroid injections for patients with cervical radiculopathy utilizing a large national database.

Interv Pain Med. 2025-7-9

[2]
Risks and Benefits of Cervical Transforaminal Epidural Steroid Injections: A Comprehensive Review.

Curr Pain Headache Rep. 2025-4-2

[3]
Evaluation of fluoroscopically guided transforaminal epidural steroid injections for cervical radiculopathy utilizing patient reported outcome measurement information system as an outcome measure.

Interv Pain Med. 2025-3-1

本文引用的文献

[1]
Incidence of Extravascular Perivertebral Artery Contrast Flow During Cervical Transforaminal Epidural Injections.

Pain Med. 2020-9-1

[2]
The Effectiveness of Fluoroscopically Guided Cervical Transforaminal Epidural Steroid Injection for the Treatment of Radicular Pain; a Systematic Review and Meta-analysis.

Pain Med. 2020-1-1

[3]
Effect of Depression on Patient-Reported Outcomes Following Cervical Epidural Steroid Injection for Degenerative Spine Disease.

Pain Med. 2018-12-1

[4]
The State of US Health, 1990-2016: Burden of Diseases, Injuries, and Risk Factors Among US States.

JAMA. 2018-4-10

[5]
Improving the safety of epidural steroid injections.

JAMA. 2015-5-5

[6]
The effectiveness and risks of fluoroscopically guided cervical transforaminal injections of steroids: a systematic review with comprehensive analysis of the published data.

Pain Med. 2014-3

[7]
Repetitive transforaminal steroid injections in cervical radiculopathy: a prospective outcome study including 140 patients.

Evid Based Spine Care J. 2012-8

[8]
Ultrasound-guided selective nerve root block versus fluoroscopy-guided transforaminal block for the treatment of radicular pain in the lower cervical spine: a randomized, blinded, controlled study.

Skeletal Radiol. 2012-5-20

[9]
Convulsion caused by a lidocaine test in cervical transforaminal epidural steroid injection.

PM R. 2011-7

[10]
Comparison of clinical effectiveness of cervical transforaminal steroid injection according to different radiological guidances (C-arm fluoroscopy vs. computed tomography fluoroscopy).

Spine J. 2011-5

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索