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纳普洛克森与环素,氧化/乙胺或安慰剂用于治疗急性腰痛:随机临床试验
Benjamin W Friedman1, Andrew A Dym2, Michelle Davitt1
1Department of Emergency Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York.
将环素或氧化/ 乙胺添加到纳普洛森并没有改善急诊室急性腰痛患者的治疗结果. 这些发现不支持使用这些额外的药物来缓解LBP.
科学领域:
- 紧急医疗
- 治疗疼痛
- 药理学
背景情况:
- 美国每年有超过250万名急诊者为腰部疼痛.
- 常见的治疗方法包括NSAID,乙氨基,阿片类药物和肌肉松剂,通常是组合使用的.
研究的目的:
- 为了比较1周和3个月的功能结果和疼痛.
- 评估单独纳普罗森与纳普罗森加上环素或氧化/乙氨基的急性LBP.
主要方法:
- 在城市急诊室进行一项随机双盲三组研究.
- 107名患者接受了纳普罗森+安慰剂,108名患者接受了纳普罗森+环素,108名患者接受了纳普罗森+ oxycodone/ acetaminophen.
- 主要结果:1周后罗兰- 莫里斯残疾问卷 (RMDQ) 的得分有所改善.
主要成果:
- 在1周后,群体之间RMDQ的改善没有显著差异.
- 纳普罗森 + 环素与安慰剂:平均差异为0. 3 (P=.77).
- 纳普罗森 + 氧化/ 乙胺与安慰剂:平均差异为1. 3 (P=. 28).
结论:
- 在急性LBP治疗1周后,添加环素或氧化/ 乙氨基并没有改善功能结果或疼痛.
- 目前的研究结果不支持在急诊室使用这些额外的药物治疗急性腰痛.
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