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硅酮作为骨关节炎关节人工润滑剂的评估。

Evaluation of silicone as an artificial lubricant in osteoarthrotic joints.

作者信息

Wright V, Haslock D I, Dowson D, Seller P C, Reeves B

出版信息

Br Med J. 1971 May 15;2(5758):370-3. doi: 10.1136/bmj.2.5758.370.

DOI:10.1136/bmj.2.5758.370
PMID:5575973
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1795797/
Abstract

Silicone 300 has been evaluated as an artificial lubricant in osteoarthrotic joints by means of a pilot study in five inpatients and a control trial of 25 outpatients with 40 osteoarthrotic knees. Sequential analysis showed a significant benefit from saline compared with silicone at one week follow-up and no significant difference at one month.Measurement of stiffness with a knee arthrograph showed no difference in reduction of stiffness between the two substances. In a study of 18 rabbits there was no evidence that silicone was retained in the joint cavity for longer than 48 hours. There was a failure of clearance of iodinated serum albumin for as long as three to four days after the injection of silicone, suggesting some obstruction to lymphatic outflow. Experimentally produced cartilaginous defects did not heal quicker with the injection of silicone into the joint.

摘要

通过对5名住院患者进行的初步研究以及对25名患有40个骨关节炎膝关节的门诊患者进行的对照试验,已对硅酮300作为骨关节炎关节中的人工润滑剂进行了评估。序贯分析表明,在一周随访时,与硅酮相比,生理盐水有显著益处,而在一个月时无显著差异。用膝关节造影测量僵硬程度显示,两种物质在减轻僵硬方面没有差异。在一项对18只兔子的研究中,没有证据表明硅酮在关节腔内的留存时间超过48小时。注射硅酮后,碘化血清白蛋白的清除长达三到四天都存在障碍,这表明淋巴流出存在一些阻塞。通过实验制造的软骨缺损,向关节内注射硅酮后愈合并未加快。

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Evaluation of silicone as an artificial lubricant in osteoarthrotic joints.硅酮作为骨关节炎关节人工润滑剂的评估。
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Silicone injection of joints. Experimental and clinical trials.关节内注射硅酮。实验与临床试验。
Int Surg. 1970 Nov;54(5):317-22.

引用本文的文献

1
Intra-articular therapy in osteoarthritis.骨关节炎的关节内治疗
Postgrad Med J. 2003 Aug;79(934):449-53. doi: 10.1136/pmj.79.934.449.
2
Intra-articular injection for pain relief in patients awaiting hip replacement.关节内注射用于缓解等待髋关节置换患者的疼痛。
Ann R Coll Surg Engl. 1988 May;70(3):156-7.

本文引用的文献

1
LUBRICATION IN SYNOVIAL JOINTS: A THEORETICAL ANALYSIS.滑膜关节中的润滑:理论分析
J Bone Joint Surg Am. 1963 Sep;45:1241-56.
2
How our joints are lubricated.我们的关节是如何得到润滑的。
Triangle. 1960 Apr;4:175-9.
3
Intra-articular therapy in rheumatoid arthritis: comparison of hydrocortisone tertiary butyl acetate and hydrocortisone acetate.类风湿关节炎的关节内治疗:醋酸氢化可的松叔丁酯与醋酸氢化可的松的比较。
Lancet. 1958 Sep 27;2(7048):659-61. doi: 10.1016/s0140-6736(58)92261-x.
4
An alternative mechanism for the lubrication of synovial joints.
Phys Med Biol. 1966 Jan;11(1):119-27. doi: 10.1088/0031-9155/11/1/312.
5
Artificial lubrication of joints: use of silicone oil.
Ann Phys Med. 1968 Nov;9(8):334-40. doi: 10.1093/rheumatology/9.8.334.
6
Comparison between local injections of silicone oil and hydrocortisone acetate in chronic arthritis.慢性关节炎中硅油与醋酸氢化可的松局部注射的比较
Br Med J. 1970 Jan 3;1(5687):24-5. doi: 10.1136/bmj.1.5687.24.
7
Rheological simulation of synovial fluid by a synthetic polymer solution.用合成聚合物溶液对滑液进行流变学模拟。
Nature. 1969 Dec 13;224(5224):1118-9. doi: 10.1038/2241118a0.
8
Intra-articular hydrocortisone in osteo-arthrosis.骨关节炎中的关节内氢化可的松
Ann Rheum Dis. 1967 Jul;26(4):316-8. doi: 10.1136/ard.26.4.316.