Brook J W, Boike A, Zema R L, Weaver M, Postak P
Department of Surgery, Mount Sinai Medical Center, Cleveland, OH 44106, USA.
J Am Podiatr Med Assoc. 1997 Oct;87(10):460-5. doi: 10.7547/87507315-87-10-460.
Locally injected steroids are used to treat inflammatory conditions, in spite of the complications associated with their use. Ketorolac tromethamine, an injectable nonsteroidal anti-inflammatory drug, has not previously been evaluated for treatment of musculoskeletal inflammatory conditions via local administration. Eighty Achilles tendons of rabbits were traumatized in a controlled fashion. At the time of trauma, a single dose of ketorolac (1, 3, or 5 mg/kg) or normal saline was administered peritendinously. Three days later, the tendons were harvested and examined histologically to evaluate the degree of inflammation present in the tissue. No statistically significant difference was found between the experimental and control groups. The authors conclude that locally injected ketorolac does not prevent the onset of an inflammatory process.
尽管局部注射类固醇存在相关并发症,但仍被用于治疗炎症性疾病。酮咯酸氨丁三醇,一种可注射的非甾体抗炎药,此前尚未通过局部给药方式评估其对肌肉骨骼炎症性疾病的治疗效果。以可控方式对80只兔子的跟腱造成创伤。在创伤发生时,向腱周给予单剂量的酮咯酸(1、3或5mg/kg)或生理盐水。三天后,取出肌腱并进行组织学检查,以评估组织中存在的炎症程度。实验组和对照组之间未发现统计学上的显著差异。作者得出结论,局部注射酮咯酸不能预防炎症过程的发生。