非甾体抗炎药与安慰剂在髋关节术后异位骨化发生率方面的比较:一项系统综述

Putu Teguh Aryanugraha, I Gusti Ngurah Wien Aryana, Andrew Sutheno, Dominicus Dimitri, Frans Lazio
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引用次数: 0

摘要

简介:异向骨化(HO)是一种对患者和外科医生都具有破坏性的疾病。它是由损伤引起的炎症反应通过多种过程引起的。非甾体抗炎药被认为有能力限制这一过程,从而预防这种情况。材料与方法:使用各种数据库检索纳入本综述的文献。对研究进行筛选和评价。 结果:本综述纳入了7项研究,并形成了HO与Control的比较表。 讨论:本研究旨在评估髋关节镜术后异位骨化(HO)的发生,并比较接受预防性非甾体类抗炎药(NSAIDs)和未接受非甾体类抗炎药(NSAIDs)的患者的结果。假设非甾体抗炎药可以降低术后HO。由于非甾体抗炎药治疗方案的不同,这一趋势的重要性在回顾性研究中有所不同。应仔细权衡非甾体抗炎药预防的有效性和潜在的副作用,并应在未来的研究中评估患者的依从性,因为现有文献的报道不一致。结论:非甾体抗炎药(NSAID)降低了术后HO的发生率,但对某一类型HO的疗效有待进一步研究
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Outcomes comparison between nsaid and placebo in the occurrence of heterotopic ossification after hip surgery: a systematic review
Introduction: Heterotropic Ossification (HO) is a devastating condition felt by patients and surgeons. It was caused by inflammatory response triggered by injury through various processes. NSAID is thought to have a capability to limit the process, hence preventing the condition. Materials and Methods: Various database has been used to search for literatures included in this review. Screening and evaluation were conducted for researches. Results: Seven studies are included in this review and a table has been formed to show the comparison of HO and Control. Discussion : This study aimed to assess the occurrence of heterotopic ossification (HO) after hip arthroscopy and compare outcomes between those who received prophylactic nonsteroidal anti-inflammatory drugs (NSAIDs) and those who did not. The hypothesis was that NSAIDs could reduce postoperative HO. The significance of this trend varied in retrospective research due to differences in NSAID regimens. The usefulness of NSAID prophylaxis should be carefully weighed against potential side effects, and patient compliance should be assessed in future research, as it was inconsistently reported in the existing literature. Conclusion: NSAID lower the rate of postoperative HO, however, more studies need to be conducted to analyze certain efficacy of certain type of HO
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