扶他林片及扶他林乳胶剂治疗老年人慢性软组织劳损疗效比较.docVIP

扶他林片及扶他林乳胶剂治疗老年人慢性软组织劳损疗效比较（济南军区总医院骨病科 济南 250031） 【摘要】目的：比较扶他林片剂和外用乳胶剂治疗老年人慢性软组织劳损的临床疗效和安全性。方法：选择慢性软组织劳损的老年患者90例，随机分为口服扶他林片剂治疗组和外用扶他林乳胶剂治疗组,用药2周,观察两组临床疗效及不良反应发生情况。结果：无论口服组还是外用组的患者治疗前后的疗效均有明显差异（P＜0.01） ；起效时间外用组明显早于口服组（P＜0.01）；外用组不良反应较口服组少（P＜0.01）。结论：扶他林片剂和扶他林乳胶剂治疗老年人慢性软组织劳损疗效满意，乳胶剂较片剂起效快,不良反应少。 【关键词】扶他林肠溶片；扶他林乳胶剂；慢性软组织劳损；老年人；疗效 Comparison of vitalin emulgel and voltaren tabletss clinical efficacy in treatment of chronic injury of soft tissue of elderly patients Qu Xintao Fu Zhihou Yu xiuchun Sun yuxi 【Abstract】 Objective To compare of vitalin emulgel and voltaren tabletss clinical efficacy and adverse effects in treatment of chronic injury of soft tissue of elderly patients. Methods 90 patients were randomly divided into two groups,One group treated with vitalin emulgel and the other with voltaren tablets，Then observed the clinical efficacy and adverse effects posttreatment in two weeks. Results There are the same significant difference clinical efficacy of the two groups than pretherapy（P＜0.01） ;The work time of the group used vitalin emulgel is significant earlier than the other group（P＜0.01）;and the the occurrence rate of adverse effects of the group used vitalin emulgel is significantly lower than the other group（P＜0.01）. Conclusion Both the two medicament forms have satisfied clinical efficacy in treatment of chronic injury of soft tissue elderly patients,The vitalin emulgel works fastly and has less adverse effects 【Key words】voltaren tablets; vitalin emulgel; chronic injury of soft tissue; elderly patients; clinical efficacy 【中图分类号】R274.3 【文献标识码】A 【文章编号】1008-6455（2011）06-0351-01 老年人慢性软组织劳损是部队医院保健门诊常见的一种疾病。临床上主要表现为病损部位疼痛、肿胀、活动受限，影响患者的日常生活。为了观察和评价扶他林两种剂型治疗此类疾病的临床疗效和安全性,对扶他林乳胶剂及扶他林钠片剂进行了临床随机平行对照试验，现报告如下： 1 临床资料 1.1 病例选择:随机选择2009年7月～2010年5月因慢性软组织劳损来我院保健门诊就诊的老年患者90例，年龄60～80岁，平均76岁；男63例，女27例。临床表现为局部疼痛、肿胀、活动受限，未使用其他药物治疗；并且外用药组患者病损皮肤完整无破损，对丙二醇、异丙醇和其他非甾体类药物无过敏史者。 1.2 治疗方法:所有入选患者随机分为两组口服扶他林片剂组和外用扶他林乳胶剂组，每组45例。外用组应用扶他林乳胶剂（北京诺华制药有限公司生产）外用