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^(153)钐—柠檬酸—羟基磷灰石滑膜切除治疗难治性关节炎的疗效观察及护理

The Effect and Nursing of Radiation Synovectomy with Samarium-153 Citrate Hydroxyapatite in Patients with Refractory Arthritis
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摘要 膝关节腔内注入153 钐———柠檬酸———羟基磷灰石(153Sm - Citrate- HA)5 ~10mci,治疗类风湿关节炎(RA) 和骨关节炎(OA) 的膝关节分别16 个和13 个。治疗后1 个月开始起效,3 个月和6 个月时疗效最显著,RA 疗效优于OA。在153Sm - Citrate- HA 治疗前,所有患者均做好血、尿常规及肝、肾功能检查,特别是膝关节B 超检查。注射过程中严格无菌操作。治疗后严格掌握关节活动次数,使药物均匀分布在关节腔内,并卧床休息,减轻关节负重。该护理措施能增强治疗效果,并减轻副作用。 mci of samarium-153 citrate hydroxyapatite was injected into the knee joints aseptically,including 16 and 13 joints of rheumatoid arthritis (RA) and osteoarthritis (OA),respectively.The effect generated after 1 month,and reached the maximum during 3rd and 6th month.The role of RA is more effective than that of OA.Before therapy,the routine examinations of blood and urine,liver and renal function.and especially ultrasonography of joints were carried out.After injection,the moving frequency of joints were conducted rationally in order to make the drug uniform distribution in arthritic cavity,and decreased the load of joints on bed.This nursing procedure can enhance the clinical efficacy and lessen side effects.
出处 《实用护理杂志》 1999年第12期18-19,共2页 Journal of Practical Nursing
关键词 放射性 滑膜切除术 关节炎 护理 钐153 Smarium-153 citrate hydroxyapatite Radiation synovectomy Arthritis Nursing
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