Liang T H, Hsu P N
Taipei Medical University - Municipal Wan Fang Hospital, Taipei, Taiwan.
Curr Med Res Opin. 2003;19(4):336-41. doi: 10.1185/030079903125001866.
A multi-centre, double-blind, randomised parallel-group study was conducted to compare the efficacy and safety between etodolac SR and diclofenac in treating patients with osteoarthritis of the knee. Thirty-two patients receiving etodolac SR (400 mg/day) and 32 patients receiving diclofenac (100 mg/day) were included for analyses. After receiving the study treatment, etodolac SR and diclofenac were shown to produce comparable improvement in pain relief as measured by a 10-cm visual analogue scale. There was no statistically significant difference observed between groups for the degree of functional impairment or the amount of paracetamol taken. The etodolac SR treatment group showed fewer incidents of adverse event. In addition, fewer gastrointestinal symptoms were observed in the etodolac SR treatment group. A statistically higher percentage of etodolac SR-treated patients were better tolerated to the study treatment compared with the diclofenac-treated patients. Etodolac SR-treated patients also took fewer antacids than the diclofenac-treated patients during the treatment period. In conclusion, etodolac SR is an effective treatment with fewer side-effects than diclofenac for patients with osteoarthritis of the knee.
开展了一项多中心、双盲、随机平行组研究,以比较依托度酸缓释片与双氯芬酸治疗膝骨关节炎患者的疗效和安全性。纳入32例接受依托度酸缓释片(400毫克/天)治疗的患者和32例接受双氯芬酸(100毫克/天)治疗的患者进行分析。接受研究治疗后,通过10厘米视觉模拟量表测量显示,依托度酸缓释片和双氯芬酸在缓解疼痛方面产生了相当的改善。两组在功能损害程度或对乙酰氨基酚服用量方面未观察到统计学上的显著差异。依托度酸缓释片治疗组不良事件发生率较低。此外,依托度酸缓释片治疗组观察到的胃肠道症状较少。与双氯芬酸治疗的患者相比,接受依托度酸缓释片治疗的患者对研究治疗的耐受性在统计学上更高。在治疗期间,依托度酸缓释片治疗的患者服用的抗酸剂也比双氯芬酸治疗的患者少。总之,对于膝骨关节炎患者,依托度酸缓释片是一种有效的治疗方法,副作用比双氯芬酸少。