Fournier Pierre-Etienne, Leal Sandra, Ziltener Jean-Luc
Centre Thermal Sport Medical, Yverdon-les-Bains.
Rev Med Suisse. 2008 Aug 6;4(166):1702-5.
Sports medicine physicians often treat painful athletes with non steroidal anti-inflammatory drugs (NSAID). However, there is a lack of high-quality evidence to guide them and the adverse effects of those medications have clinical relevance. Moreover, their potential negative consequences on long-term healing process are slowly growing. This article reviews some practical management guidelines with NSAID drawn to assist sports physicians in frequent sports-related injuries. We do not recommend their use in muscle injuries, bone fracture or stress fracture, neither in tendinopathies. In all the cases, if used, length of NSAID treatment should always be kept as short as possible, with considerations of the specific type of injury, level of dysfunction and pain.
运动医学医生经常使用非甾体类抗炎药（NSAID）来治疗疼痛的运动员。然而，缺乏高质量的证据来指导他们，并且这些药物的不良反应具有临床相关性。此外，它们对长期愈合过程的潜在负面影响正在逐渐增加。本文回顾了一些使用NSAID的实用管理指南，以帮助运动医生处理常见的运动相关损伤。我们不建议在肌肉损伤、骨折或应力性骨折以及肌腱病中使用NSAID。在所有情况下，如果使用，NSAID的治疗时间应尽可能缩短，并考虑损伤的具体类型、功能障碍程度和疼痛程度。
