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类风湿性关节炎和骨关节炎患者关节腔内注射后血浆甲泼尼龙浓度的比较。

A comparison of plasma methylprednisolone concentrations following intra-articular injection in patients with rheumatoid arthritis and osteoarthritis.

作者信息

Bertouch J V, Meffin P J, Sallustio B C, Brooks P M

出版信息

Aust N Z J Med. 1983 Dec;13(6):583-6. doi: 10.1111/j.1445-5994.1983.tb02608.x.

DOI:10.1111/j.1445-5994.1983.tb02608.x
PMID:6586148
Abstract

Plasma concentrations of methylprednisolone following intra-articular injection were measured in rheumatoid arthritis and osteoarthritis patients. While substantial plasma concentrations were seen in both groups of patients there was no significant difference in the rate or extent of absorption of methylprednisolone from osteoarthritic or rheumatoid knees. This study suggests that it is the dissolution rate of the steroid formulation rather than the characteristics of the synovial membrane which determine rate and extent of systemic absorption of methylprednisolone after intra-articular injection.

摘要

对类风湿性关节炎和骨关节炎患者关节腔内注射甲泼尼龙后的血浆浓度进行了测量。虽然两组患者均出现了较高的血浆浓度,但甲泼尼龙从骨关节炎或类风湿性关节炎膝关节的吸收速率和程度并无显著差异。这项研究表明,决定关节腔内注射后甲泼尼龙全身吸收速率和程度的是类固醇制剂的溶解速率,而非滑膜的特性。

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Pre-injection of hyaluronic acid does not affect the systemic effects of intra-articular depot betamethasone injection at the knee joint.预先注射透明质酸不影响膝关节内长效倍他米松注射的全身效应。
Clin Rheumatol. 2017 Jan;36(1):217-221. doi: 10.1007/s10067-016-3352-4. Epub 2016 Jul 16.
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Systemic effects of intra-articular corticosteroids.
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Clin Rheumatol. 2009 Jul;28(7):749-56. doi: 10.1007/s10067-009-1135-x. Epub 2009 Feb 28.
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The effect of intra-articular steroids on plasma salicylate concentrations.关节内注射类固醇对血浆水杨酸酯浓度的影响。
Br J Clin Pharmacol. 1986 Mar;21(3):301-7. doi: 10.1111/j.1365-2125.1986.tb05194.x.
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Effect of intra-articular glucocorticoids on the disposition of sulphadimidine in chronic osteoarthritis patients.关节内注射糖皮质激素对慢性骨关节炎患者磺胺二甲嘧啶处置的影响。
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