Vu Francis, Liaudet André, Selby Kevin, Pasche Olivier, Zuercher Sophie, Gouveia Alexandre, De Alencastro Lionel, Eichenberger Carine, Bodenmann Patrick
PMU, 1011 Lausanne.
Rev Med Suisse. 2017 Jan 18;13(546):154-158.
Treatment with diclofenac appears to be more effective compared to other NSAIDs in the treatment of osteoarthritis of the large joints. Opioids do not diminish significantly the pain in chronic lower back pain. Degenerative tears of the meniscus, without signs of osteoarthritis, should be treated conservatively. Acute appendicitis without perforation signs should be treated conservatively if possible. Mindfulness meditation could prevent the recurrence of episodes in major depression. Oropharyngeal exercises could reduce the frequency and intensity of snoring. The choice of treatment in Helicobacter pylori infection must consider its effectiveness and tolerance. Concomitant use of statins and vitamin D could be an interesting alternative treatment in migraines.
与其他非甾体抗炎药相比,双氯芬酸治疗大关节骨关节炎似乎更有效。阿片类药物对慢性下腰痛的疼痛缓解作用不显著。半月板退行性撕裂且无骨关节炎迹象的,应采取保守治疗。无穿孔迹象的急性阑尾炎,若可能应采取保守治疗。正念冥想可预防重度抑郁症发作的复发。口咽部锻炼可减少打鼾的频率和强度。幽门螺杆菌感染的治疗选择必须考虑其有效性和耐受性。他汀类药物和维生素D联合使用可能是偏头痛治疗的一种有趣替代方法。