双氯芬酸二乙胺乳胶剂和双氯芬酸钠肠溶片治疗肌筋膜疼痛综合征的疗效比较

目的比较双氯芬酸二乙胺乳胶剂和双氯芬酸钠肠溶片治疗肌筋膜疼痛综合征的临床疗效。方法选择肌筋膜疼痛综合征患者80例,随机分为双氯芬酸二乙胺乳胶剂治疗组(外用组)和双氯芬酸钠肠溶片口服治疗组(口服组)。所有患者治疗前及治疗后1周、2周、3周分别进行VAS评分,并记录药物的不良反应。结果各组治疗前后的VAS评分组内比较差异有统计学意义(P<0.01),组间比较无明显差异(P>0.05);外用组不良反应少且轻微,明显低于口服组(P<0.01)。结论双氯芬酸外用乳胶剂治疗肌筋膜疼痛综合征疗效好,不良反应小。

Comparison of the Efficacy of Diclofenac Diethylamine Emulgel and DiclDfenac Sodium Enteric-coated Tablets in the Treatment of Myofascial Pain Syndrome

Objective To compare the clinical effect and safety between diclofenac diethylamine emulgel and diclofenac sodium enteric-coated tablet in the treatment of myofascial pain syndrom. Methods Eighty patients with MFPS were divided into external application group and internal application group randomly, with the treatment of diclofenac diethylamine emulgel and diclofenac sodium enteric-coated tablet.All the patients were soredwith VAS and the effect and side effect were observed at the end of 1、2、3 week.Results VAS score of Each group was significantly different before and after treatment （P0.01）, with no significant difference between the two groups （P0.05）. few and mild adverse reactions were found in the external application group, significantly lower than that in the internal application group （P0.01）. Conclusion The treatment of myofascial pain syndrome with diclofenac diethylamine emulgel has better effect and less side effect.