슬관절의 골관절염 환자에서 관절강 내 몰핀의 진통효과
The Analgesic Effect of Intraarticular Morphine in Osteoarthritis of Knee
3
조회
0
다운로드
0
인용
0
참고문헌
초록
Abstract
Objective: This study was conducted to assess the analgesic effect of intraarticular injection with morphine and hyaluronic acid in comparison with intraarticular injection with hyaluronic acid only in the patients with osteoarthritis of knee. Method: Twenty four patients with degenerative osteoarthritis of the knee were assigned randomly to a morphine group (morphine+hyaluronic acid) and a hyaluronic acid group. In the morphine group, intraarticular injection with morphine and hyaluronic acid at first was applied to the knee 2 times. Then intraarticular injection with hyaluronic acid without morphine was applied in the remaining 3 times. In the hyaluronic acid group, intraarticular injection with hyaluronic acid was applied to the knee 5 times. Effects were assessed on the 1st week, 5th week after treatment, and on the last follow up day by pain rating score (PRS). Results: Significant change of PRS improvement was noticed in the morphine group in the 1st week after treatment compared with the hyaluronic acid group. Conclusion: These results showed that intraarticular injection with morphine and hyaluronic acid was a more effective treatment method than intraarticular injection with hyaluronic acid only for pain control in patients with osteoarthritis of knee.
참고문헌 (25)
- "퇴행성 슬관절염 환자에서 Hyaluronic acid와 Steroid 관절강 내 주사의 효과.", pp.747~755 (2000)
- "An update on the epidemiology of knee and hip osteoarthritis with a view to prevention", 41, pp.1343~1355 (1998)
- "새로운 자가통증평가법의 유효성.", pp.305~311 (1998)
- "The American college of rheumatology critieria for the classification and reporting of osteoarthritis of the knee. Artritis Rheum 1986", pp.1039~1049
- "The efficacy of intraarticular steroid in osteoarthritis:a double blind study", 7, pp.1850~1856 (1980)
- "Morphine inhibits the carrageenan-induced oedema and the chemoluminescence of leukocytes stimulated by zymosan", 37, pp.100~104 (1985)
- "in the treatment of patients with osteoarthritis of the knee", pp.2203~2212 (1998), Intraarticular sodium hyaluronate
- "Intra-articular morphine for pain relief after arthroscopic knee operation", 73, pp.413~415 (1994)
- "Should osteoarthritis be treated with nonsteroidal anti-inflammatory drugs", pp.697~712
- "Effects of antiinflammatory drugs on the progression of osteoarthritis of the knee", 38, pp.602~607 (1995)
- "Glucosamine sulfate for osteoarthritis.", pp.580~587 (1998)
- "Low dose intra-articular morphine anagesia in day case knee arthroscophy", pp.151~154, Dalsgaard J
- "Intraarticular hyaluronic acid compared to intraarticular triamcinolone hexacetonide in inflammatory knee osteoarthritis", 3, pp.269~273 (1995)
- "Nutraceuticals as therapeutic agents in osteoarthritis. The role of glucosamine", pp.379~395 (1999)
- "Intraarticular morphine for pain relief after knee arthroscopy", 74-a, pp.749~751 (1992)
- "Intraarticular morphine,bupivacaine,and morphine", bupivacaine for pain control after videoarthroscopy, 1992, pp.77, 263~266
- "Glucosamine in the treatment of osteoarthritis.", pp.1~11 (2000)
- "Intra-articular therapy in osteoarthritis", 11, pp.769~794 (1997)
- "Intraarticular morphine analgesia in chronic pain patients with osteoarthritis", 84, pp.1313~1317 (1997)
- "Intra-articular morphine as analgesic in temporomandibular joint arthralgia", osteoarthritis, 2001, pp.94, 275~282
- "Therapeutic effect of intra-articular injection of high molecular weight hyaluronic acid on osteoarthritis of the knee", 20, pp.501~514 (1982)
- "controlled trial of glucosamine for treating osteoarthritis of the knee", (rdhaugen n), pp.91~94 (2000)
- "The effect of high and low molecular weight hyaluronic acid in mytogen-induced lymphocyte proliferation", 47, pp.437~443 (1990)
- "Intraarticular morphine versus dexamethasone in chronic arthritis", 83, pp.525~532 (1999)
- "Analgesic effect of intraarticular morphine after arthroscopic knee surgery", 325, pp.1123~1126 (1991)