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颈椎硬膜外类固醇注射后临床分类作为治疗结果的预测指标

Clinical classification as a predictor of therapeutic outcome after cervical epidural steroid injection.

作者信息

Ferrante F M, Wilson S P, Iacobo C, Orav E J, Rocco A G, Lipson S

机构信息

Department of Anesthesia, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.

出版信息

Spine (Phila Pa 1976). 1993 May;18(6):730-6. doi: 10.1097/00007632-199305000-00010.

DOI:10.1097/00007632-199305000-00010
PMID:8516703
Abstract

A retrospective analysis was done on 100 patients who had received cervical epidural steroid injections for neck pain and cervical radiculopathy to identify the predictors of outcome after such treatment. Potential predictors of outcome were assessed individually and then simultaneously with a multiple-regression model. Patients with radicular symptoms and signs had the best pain relief in contradistinction to those with axial (neck) pain. A clinical classification model predicting the outcome and an algorithm for the use of such injections in the treatment of cervical radiculopathy were developed.

摘要

对100例因颈部疼痛和神经根型颈椎病接受颈椎硬膜外类固醇注射治疗的患者进行回顾性分析,以确定该治疗后预后的预测因素。对预后的潜在预测因素进行了单独评估,然后使用多元回归模型进行综合评估。与轴性(颈部)疼痛患者相比,有神经根症状和体征的患者疼痛缓解效果最佳。建立了一个预测预后的临床分类模型以及一种使用此类注射治疗神经根型颈椎病的算法。

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