依托芬那酯凝胶治疗肩关节周围炎的临床观察  

Clincal Research on the Effect of Etofenamate Gel on Omarthritis

作　　者：刘灿辉[1] 李爱英 

机构地区：[1]解放军第174医院疼痛科,福建厦门361003 [2]厦门市口腔医院外科

出　　处：《华西医学》2016年第8期1356-1358,共3页West China Medical Journal

摘　　要：目的观察依托芬那酯凝胶治疗肩关节周围炎的临床效果。方法选择2010年2月-2014年5月在疼痛门诊就诊、并通过MRI检查确诊为肩关节周围炎的60例患者,随机分为治疗组和对照组,每组各30例。患者均先行口服消炎止痛药、物理治疗、注射治疗手法松解治疗。治疗组采用依托芬那酯凝胶、对照组采用双氯芬酸钠凝胶外敷肩关节周围,4次/d,外敷后自然干燥即可。治疗2周后评价临床症状的改善情况,比较其治疗效果。结果治疗2周后,治疗组和对照组的总有效率均为100.0%,治疗组和对照组的显效率分别为76.7%和46.7%,差异有统计学意义(u=3.491,P<0.05)。结论依托芬那酯凝胶、双氯芬酸那凝胶治疗肩关节周围炎的效果确切,依托芬那酯凝胶效果更为显著,值得临床推广应用。Objective To explore the therapeutic effect of etofenamate gel on omarthritis. Methods A total of 60 patients with omarthritis （diagnosed by MRI） treated between February 2010 and May 2014 were randomly divided into the treatment group and control group, with 30 patients in each. First, all of the patients underwent the oral medication （to diminish inflammation and relieve pain）, physiotherapy, injection, and manual relaxation. Then, the patients in the control group were treated with diclofenac gel, while in the treatment group was treated with etofenamate gel. The usage in both groups was 4 times per day; use externally and waited till desiccation. Improvement of clinical signs and symptoms were observed after 2-week treatment. Results After 2 weeks of treatment, the total effective rate in both of the two groups were 100%. The efficiency rate of the treatment and control group were 76.7% and 46.7%, respectively, with a significant difference （u=3.491, P 〈 0.05）. Conclusion Etofenamate gel and diclofenac gel are effective on omarthritis; etofenamate gel is more effective, which is worthy of clinical applying.

关 键 词：依托芬那酯凝胶 双氯芬酸钠凝胶 肩关节周围炎 

分 类 号：R686[医药卫生—骨科学]