[1]吉冬梅,徐小青,史传岗.超声引导膝关节腔注射对患者满意度、关节功能和生活质量的影响[J].介入放射学杂志,2021,30(10):1040-1044.
 JI Dongmei,XU Xiaoqing,SHI Chuangang..Ultrasound-guided knee joint cavity injection: its effect on patient satisfaction, joint function and quality of life[J].journal interventional radiology,2021,30(10):1040-1044.
点击复制

超声引导膝关节腔注射对患者满意度、关节功能和生活质量的影响()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
30
期数:
2021年10
页码:
1040-1044
栏目:
临床研究
出版日期:
2021-10-25

文章信息/Info

Title:
Ultrasound-guided knee joint cavity injection: its effect on patient satisfaction, joint function and quality of life
作者:
吉冬梅 徐小青 史传岗
Author(s):
JI Dongmei XU Xiaoqing SHI Chuangang.
Department of Orthopedics, Affiliated Haian Hospital of Nantong University, Nantong, Jiangsu Province 226600, China
关键词:
【关键词】 超声引导 患者满意度 膝关节痛 关节腔注射
文献标志码:
A
摘要:
【摘要】 目的 评估接受超声引导定位和体表解剖定位膝关节腔注射复方倍他米松对患者满意度、关节功能和生活质量方面是否存在差异。方法 选取2018年10月到2019年12月64例膝关节腔注射患者分为超声引导定位组和体表解剖定位组。分别于治疗前、治疗后即刻(注射后15~30 min)、治疗后5周进行膝关节VAS疼痛评分,同时评估治疗后即刻和治疗后5周患者满意度以及膝关节损伤和骨关节炎预后评分(KOOS)。结果 有5例患者失访,最终59例患者进入最终分析(超声引导定位组30例,体表解剖定位组29例)。治疗后即刻及治疗后5周超声引导定位组VAS疼痛评分显著低于体表解剖定位组(1.63±1.60比4.05±2.50,P=0.001)及(2.91±1.96比5.88±3.42,P=0.003); 治疗后即刻及治疗后5周超声引导定位组的患者满意度评分显著高于体表解剖定位组(4.76±0.27比3.97±0.96,P=0.002)及(4.55±0.93比3.21±1.57,P=0.031);超声引导定位组在随访的第5周其KOOS评分中的症状、疼痛、活动、娱乐功能和生活质量评分均有显著的改善(P<0.05)。 结论 超声引导膝关节腔注射可增强患者的诊疗体验并提高满意度,并显著改善膝关节腔注射的临床疗效。

参考文献/References:

[1] Centers for Medicare and Medicaid Services(CMS). Patient Protection and Affordable Care Act: exchange and insurance market standards for 2015 and beyond. Final rule[J]. Fed Regist, 2014, 79: 30239-30353.
[2] 赵浴光,李晓璇、崔 莹等. 地市级城市医院服务质量及其对住院患者满意度的影响[J]. 中国医院管理, 2020, 40:60- 62.
[3] Paterson KL, Kasza J, Hunter DJ, et al. Longitudinal association between foot and ankle symptoms and worsening of symptomatic radiographic knee osteoarthritis: data from the osteoarthritis initiative[J]. Osteoarthritis Cartilage, 2017, 25:1407- 1413.
 [4] Hirsch G, O’Neill TW, Kitas G, et al. Accuracy of injection and short- term pain relief following intra- articular corticosteroid injection in knee osteoarthritis:an observational study[J]. BMC Musculoskelet Disord, 2017, 18:44.
[5] 朱小兰,徐小青. 超声引导膝神经脉冲射频治疗膝关节骨性关节炎疼痛的疗效观察[J]. 介入放射学杂志, 2020, 29:711- 714. [6] Collins NJ, Prinsen CAC, Christensen R,et al. Knee Injury and Osteoarthritis Outcome Score(KOOS): systematic review and meta- analysis of measurement properties[J]. Osteoarthritis Cartilage,2016, 24:1317- 1329.
[7] Raeissadat SA, Rayegani SM, Langroudi TF,et al. Comparing the accuracy and efficacy of ultrasound- guided versus blind injections of steroid in the glenohumeral joint in patients with shoulder adhesive capsulitis[J]. Clin Rheumatol, 2017, 36:933- 940.
[8] Sibbitt WL Jr, Kettwich LG, Band PA, et al. Does ultrasound guidance improve the outcomes of arthrocentesis and corticosteroid injection of the knee[J]. Scand J Rheumatol, 2012, 41:66- 72.
[9] Wada M, Fujii T, Inagaki Y,et al. The Isometric quadriceps contraction method for intra- articular knee injection[J]. JBJS Essent Surg Tech, 2019, 9:e16.
[10] Nam SH, Kim J, Lee JH, et al. Palpation versus ultrasound- guided corticosteroid injections and short- term effect in the distal radioulnar joint disorder: a randomized, prospective single- blinded study[J]. Clin Rheumatol, 2014, 33:1807- 1814.
[11] Dubreuil M, Greger S, La Valley M, et al. Improvement in wrist pain with ultrasoundguided glucocorticoid injections: a meta- analysis of individual patient data[J]. Semin Arthritis Rheum,2013, 42:492- 497.
[12] Draper DO, Klyve D, Ortiz R, et al. Effect of lowintensity long- duration ultrasound on the symptomatic relief of knee osteoarthritis: a randomized, placebo- controlled double- blind studyL[J]. J Orthop Surg Res, 2018, 13:257.
[13] Zufferey P, Revaz S, Degailler X, et al. A controlled trial of the benefits of ultrasound- guided steroid injection for shoulder pain[J]. Joint Bone Spine, 2012, 79:166- 169

相似文献/References:

[1]魏 炜,艾 红,阮郦韬.超声引导下乳腺小微病灶导丝定位的临床应用[J].介入放射学杂志,2015,(07):629.
 WEI Wei,AI Hong,RUAN Li- tao.Clinical application of preoperative ultrasound- guided guide- wire localization in diagnosing tiny breast lesions[J].journal interventional radiology,2015,(10):629.
[2]韦红霞,束晓霞,李斌义.聚桂醇在单纯性肾囊肿硬化治疗中的应用价值[J].介入放射学杂志,2016,(12):1094.
 WEI Hong- xia,SHU Xiao- xia,LI Bin- yi.The application value of lauromacrogol in sclerotherapy of simple renal cysts[J].journal interventional radiology,2016,(10):1094.
[3]董 亮,周 青,纪永利,等.超声与CT经皮穿刺在超声可视性胸部病变定性诊断中的对比研究[J].介入放射学杂志,2017,(08):718.
 DONG Liang,ZHOU Qing,JI Yongli,et al.Ultrasound- guided versus CT- guided percutaneous biopsy for the qualitative diagnosis of ultrasonic- visual chest lesions: a comparison study[J].journal interventional radiology,2017,(10):718.
[4]单玉兰,周晓林,朱小兰,等.超声引导下前锯肌阻滞与胸椎硬膜外阻滞治疗急性胸廓切开术后疼痛的疗效比较[J].介入放射学杂志,2020,29(05):472.
 SHAN Yulan,ZHOU Xiaolin,ZHU Xiaolan,et al.Ultrasound-guided serratus anterior plane block versus thoracic epidural block in the treatment of acute pain after thoracotomy[J].journal interventional radiology,2020,29(10):472.
[5]吴中俭,高明杰,谷涌泉,等.超声引导下定向斑块旋切联合药物涂层球囊治疗股浅动脉重度狭窄1例[J].介入放射学杂志,2020,29(07):736.
 WU Zhongjian,GAO Mingjie,GU Yongquan,et al.Successful treatment of severe stenosis of superficial femoral artery by using ultrasound-guided direct rotational atherectomy combined with drug-coating balloon dilatation: report of one case[J].journal interventional radiology,2020,29(10):736.
[6]李 晓,唐栋梁,王 洁,等.超声引导竖脊肌间隙阻滞与胸椎椎旁神经阻滞治疗乳腺癌术后急性疼痛疗效观察 [J].介入放射学杂志,2020,29(08):777.
 LI Xiao,TANG Dongliang,WANG Jie,et al.Ultrasound-guided erector spinae block and thoracic paravertebral block for the treatment of acute pain after surgery of breast cancer[J].journal interventional radiology,2020,29(10):777.
[7]陶小红,孟继红,潘亚娟,等.超声引导股神经阻滞与收肌管阻滞用于全膝关节置换术后镇痛的跌倒风险[J].介入放射学杂志,2021,30(01):34.
 TAO Xiaohong,MENG Jihong,PAN Yajuan,et al.Ultrasound-guided femoral nerve block versus adductor canal block for postoperative analgesia after total knee arthroplasty: comparison of the falling risk[J].journal interventional radiology,2021,30(10):34.
[8]王 懿,陈 沛,万光明.中长期静脉通路互联网平台的构建与应用[J].介入放射学杂志,2021,30(07):730.
 WANG Yi,CHEN Pei,WAN Guangming..Establishment and application of internet platform used for mid-to-long-term management of venous access[J].journal interventional radiology,2021,30(10):730.
[9]罗玮雯,李拾林,吕国荣,等.超声引导下经皮肺穿刺并发症及相关因素分析[J].介入放射学杂志,2021,30(12):1243.
 LUO Weiwen,LI Shilin,Lyu Guorong,et al.Ultrasound-guided percutaneous pulmonary puncture biopsy: analysis of complications and related factors[J].journal interventional radiology,2021,30(10):1243.
[10]钱朝庆,陈坤前,张国辉,等.超声引导下血管腔内缝合术在医源性股动脉假性动脉瘤的临床应用[J].介入放射学杂志,2022,31(12):1203.
 QIAN Chaoqing,CHEN Kunqian,ZHANG Guohui,et al.Clinical application of ultrasound-guided endovascular suture in treating iatrogenic femoral artery pseudoaneurysm[J].journal interventional radiology,2022,31(10):1203.

备注/Memo

备注/Memo:
(收稿日期:2020- 08- 17)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2021-10-15