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題 名 | 非類固醇抗發炎藥物在運動傷害處理上的使用探討=The Use of Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) in Sports Injury |
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作 者 | 陳文詮; 邱炳坤; 許美智; | 書刊名 | 國立體育學院論叢 |
卷 期 | 11:1 民89.10 |
頁 次 | 頁183-194 |
分類號 | 993.195 |
關鍵詞 | 運動傷害處理; 非類固醇類的抗發炎藥物; Nonsteroidal anti-inflammatory drugs; NSAID; Treatment of sports injury; |
語 文 | 中文(Chinese) |
中文摘要 | 運動員發生運動傷害的比率,根據美國自1979到1992年所做的研究,收 集了20所高中將近6萬名運動員的傷害調查資料指出,每一季當中平均每一百名 運動員就有3C.6人受過傷,可見運動員受傷頻率之高。然而,除了一般急性運 動傷害的R.1.C.E.處理外,為了讓運動員能更有效、快速的減緩受傷症狀, 儘速復原回到運動場上,輔助性藥物的配合使用也是運動傷害處理上重要的一 環。由於類固醇類的抗發炎藥物具有較多強烈副作用,並可能違反IOC禁藥的規 定。因此,本篇針對非類固醇類的抗發炎藥物(NSAID)在運動傷害的處理使用上, 進行探討,結果發現,在慢性或過度使用所造成的運動傷害,以NSA1D治療,儘 管在效用上不能達到顯著差異,但卻能有用的減緩傷害的症狀。這強調了NSAID 可能提供解除在傷害上的發炎症狀,卻不能抑制發炎反應(inflammationofreaction) 病理上的傷害(pathologicalinjury)。而在急性運動傷害上。亦不能確定NSA1D能百 分之百有效的治療它,但在受試者的主觀認知上卻有明顯的幫助,然而,使用 NSA1D對於刺激胃部黏膜及增加胃酸分泌,這些毛病的範圍從消化不良和胃灼熱 到潰瘍和胃出血的問題,因此,在以NSAID輔助進行運動員的運動傷害治療的過 程中則仍須加以注意這些問題。 |
英文摘要 | It is indicated in the research made during 1979-1992 concerning sports injuries that60,000 high school athletes in the U.S.A were physically injured because of impacting oroverusing. That is, on the average, 30.6 out of 100 athletes get injured each season.Accordingly, the treatment for sports injuries has become a serious problem to be tackled.The anti-inflammatory therapy is commonly prescribed for it. in dealing with acutemacrotraumatic or chronic macrotraumatic injury, non-steroidal anti-inflammatory drugs(NSAID) and a variety of synthetic derivatives of cortisol have achieved widespreadendorsement. However, the synthetic derivatives of cortisol have more side effects thanNSAID, and might be among the banned drugs of the I.O.C. Therefore, this review willfocus on NSAID-the use of it in the chronic or overuse injuries. We find that NSAID isuseful but not significant in relieving symptoms in the usual treatment for sports injuries. Itshould be emphasized that while NSAID may give relief from symptomatic inflammation, itdoes not arrest the cause or the pathological injury of the inflammatory reaction. Moreover,the efficacy of NSAID in some acute injuries has not proved as significant as those takingthem has subjectively felt. It should be noted that the most prevalent side effects producedby NSAID are gastrointestinal, which range from mild dyspepsia and heartburn to ulcerationand gastrointestinal bleeding. We thus should pay attention to using NSAID for treatingsports injuries. |
本系統中英文摘要資訊取自各篇刊載內容。