氨酚曲马多片治疗髂胫束综合征的临床价值

The value of paracetamol and tramadol hydrochloride tablets in ilio-tibial band friction syndrome

目的探讨氨酚曲马多片治疗髂胫束综合征的治疗效果。方法 38例髂胫束综合征患者随机分为氨酚曲马多组(A组)及对照组(C组),比较两组患者治疗开始前、治疗第1、3、7天时的VAS评分,治疗结束后步行实验的最远距离,非甾体抗炎药使用后的副作用及曲马多使用后的戒断情况。结果 A组患者治疗第1、3、7天VAS评分较C组患者明显降低,且差异具有统计学意义(P<0.05)。两组患者步行实验最远距离比较,A组患者患侧膝关节出现明显痛感时,所行走的最远距离,明显大于C组患者,且差异具有统计学意义(P<0.05)。均未发现非甾体抗炎药(NSAID)和曲马多使用后的副作用及戒断情况。结论氨酚曲马多片能够在不增加其副作用的情况下安全有效地用于髂胫束综合征的镇痛治疗。

Objective To discuss the application value of paracetamol and tramadol hydrochloride tablets in ilio-tibial band friction syndrome. Methods 38 cases of ilio-tibial band friction syndrome patients were randomly divided into paraeetamol and tramadol group and control group, compared the difference of patients with VAS score ,the maximum walk distance after remedy and the side-effect of paracetamol and tramadol hydrochloride tablets. Results Paraeetamol and tramadol group at the VAS score was inferior to control group. The maximum walk distance after rerredy was also significantly beyond than that of control group. The resuhs were statistically significant （P〈0.05）. But the adverse reaction of NSAID and the withdrawal symptom of tramadol were unconspieuous. Conclusion For the ilio-tibial band friction syndrome patients, paracetamol and tramadol hydroehloride tablets is safe and effective.