比较局部皮质类固醇注射、富含血小板的血浆和体外冲击波疗法治疗前列腺炎的疗效：一项前瞻性、随机、比较研究。

IF 1.2 Q3 ORTHOPEDICS Advances in Orthopedics Pub Date : 2023-09-30 eCollection Date: 2023-01-01 DOI:10.1155/2023/5545520

Wesam Gouda, Awad S Abbas, Tarek M Abdel-Aziz, Mohamed Z Shoaeir, Walid Ahmed, Abdelhfeez Moshrif, Ahmed Mosallam, Mohamed Kamal

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引用次数: 0

摘要

背景：白细胞滑囊炎（PAB）是膝关节疼痛综合征最常见的病因之一。本研究旨在检验局部皮质类固醇注射、富血小板血浆（PRP）注射和体外冲击波治疗（ESWT）作为不同方式对缓解和增强脊髓炎（PAB）患者疼痛和功能的疗效。方法：对180例诊断为慢性PAB的患者进行前瞻性、随机、比较研究。他们被平均分为三组，如下：第一组接受了40 mg醋酸甲基强的松龙/1 ml；第二组接受PRP注射；在第III组中使用ESWT。结果测量包括视觉模拟量表（VAS）、西安大略大学和麦克马斯特大学（WOMAC）疼痛评分、WOMAC身体功能评分和压痛的里奇关节指数（RAI），这些指标在基线时记录周，8点之后周。结果：应用程序前，与PRP组和ESWT组相比，局部皮质类固醇组的WOMAC疼痛评分有统计学意义的增加（P<0.001）。应用程序后，1周和8周WOMAC疼痛得分、WOMAC身体功能得分、，与PRP组和ESWT组相比，局部皮质类固醇组的VAS。（P＜0.001）。此外，压痛的RAI在8时显示出统计学上显著的改善与PRP组（P＜0.001）和ESWT组（P＞0.001）相比，局部皮质类固醇注射组的治疗时间为周。同样，PRP组和ESWT之间也存在统计学上的显著差异（P＝0.023）。结论：我们的数据表明，在PAB患者中，局部皮质酮注射在减轻疼痛和增强功能方面比PRP注射和ESWT更有效。

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Background: Pes anserine bursitis (PAB) is one of the most common causes of painful knee syndromes. This study aimed at examining the efficacy of local corticosteroid injection, platelet-rich plasma (PRP) injection, and extracorporeal shock wave therapy (ESWT) as different modalities to alleviate pain and enhance function in patients with pes anserine bursitis (PAB).

Methods: A prospective, randomized, comparative study was conducted on 180 patients diagnosed with chronic PAB. They were equally divided into three groups as follows: Group I received a local corticosteroid injection of 40 mg of methylprednisolone acetate/1 ml; Group II received a PRP injection; and in Group III, ESWT was used. Outcome measures included the visual analog scale (VAS), Western Ontario and McMaster Universities (WOMAC) pain score, WOMAC physical function score, and Ritchie articular index (RAI) for tenderness, which were recorded at the baseline, after 1 week, and after 8 weeks.

Results: Before the application of procedures, there was a statistically significant increase in the WOMAC pain score in the local corticosteroid group compared to the PRP group and the ESWT group (P < 0.001). After the application of procedures, there was a statistically significant improvement in the 1-week and 8-week WOMAC pain score, WOMAC physical function score, and VAS in the local corticosteroid group in comparison to the PRP group and the ESWT group. (P < 0.001). Moreover, RAI for tenderness shows statistically significant improvement at 8 weeks in the local corticosteroid groups compared to the PRP groups (P < 0.001) and ESWT groups (P < 0.001). Similarly, a statistically significant difference was found between the PRP and ESWT groups (P=0.023).

Conclusion: Our data suggest that in patients with PAB, local corticosteroid injection is more efficient than PRP injection and ESWT for reducing pain and enhancing function.

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来源期刊

Advances in Orthopedics ORTHOPEDICS-

CiteScore

2.40

自引率

0.00%

发文量

审稿时长

21 weeks

期刊介绍： Advances in Orthopedics is a peer-reviewed, Open Access journal that provides a forum for orthopaedics working on improving the quality of orthopedic health care. The journal publishes original research articles, review articles, and clinical studies related to arthroplasty, hand surgery, limb reconstruction, pediatric orthopaedics, sports medicine, trauma, spinal deformities, and orthopaedic oncology.