Portable ultrasound-guided sacroiliac joint injection in the treatment of military training injuries:application and thinking
10.3969/j.issn.1009-0754.2024.01.001
- VernacularTitle:便携式超声引导骶髂关节注射在官兵军事训练伤救治中的应用与思考
- Author:
Yuanyuan SUN
1
;
Li SUN
;
Jialin LI
;
Xiujuan LI
;
Yu MA
;
Yuanchang XIONG
Author Information
1. 200433 上海,海军军医大学第一附属医院麻醉学部
- Keywords:
Military training injury;
Ultrasound guidance;
Sacroiliac joint injection;
Sacroiliac joint pain;
Clinical efficacy
- From:
Journal of Navy Medicine
2024;45(1):1-5
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the safety and efficacy of portable ultrasound-guided sacroiliac joint injection in the treatment of sacroiliac joint pain caused by military training injuries of grass-roots officers and soldiers.Methods The clinical data of officers and soldiers with sacroiliac joint pain caused by military training injuries treated in The First Affiliated Hospital of Naval Medical University from April 2020 to April 2022 were collected.Necessary examinations were completed.Patient Health Questionnaire-9(PHQ9)and 7-item Generalized Anxiety Disorder Questionnaire(GAD7)were used to evaluate anxiety and depression.Portable ultrasound-guided sacroiliac joint injection with steroid hormone was adopted.Visual analogue scale(VAS)scores were recorded before treatment and 30 min,1 week and 4 weeks after treatment.Oswestry disability index(ODI)and self-rating scale of sleep(SRSS)were evaluated before treatment and 4 weeks after treatment.The clinical efficacy was evaluated by pain degree,mobility,sleep quality,and complications.Satisfaction survey was conducted 4 weeks after treatment.Results A total of 33 officers and soldiers were enrolled,and 3(9.10% )of them suffered from depression or anxiety.Portable ultrasound-guided sacroiliac joint injection was successfully completed.The scores of VAS,ODI and SRSS at the 4th week after treatment were significantly lower than those before treatment(6.27±0.80 vs.2.97±1.26,72.45±9.54 vs.37.64±10.99,40.70±6.47 vs.20.61±6.02,P<0.05).The overall satisfaction of officers and soldiers was 96.97% .Conclusion Portable ultrasound-guided sacroiliac joint injection is safe,effective,easy to operate.It is suitable for the treatment of sacroiliac joint pain after military training injuries,and clinical efficacy is good during follow-up.It can provide reference for medics in naval combat support ships and grass-roots units.
