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外用非甾体抗炎药治疗运动损伤的临床实践指南。

Clinical Practice Guidelines for Topical NSAIDs in the Treatment of Sports Injuries.

作者信息

Xiong Yan, Liu Yan, Zhou Jingbin, Shang Xiliang, He Hongchen, Li Guoping, Chen Shiyi, Li Jian

机构信息

Department of Orthorpedics and Sports Medicine, Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu, China.

Department of Rehabilitation Medicine, Rehabilitation Key Laboratory of Sichuan Province, West China Hospital/West China Tianfu Hospital, Sichuan University, Chengdu, China.

出版信息

J Evid Based Med. 2025 Mar;18(1):e12661. doi: 10.1111/jebm.12661. Epub 2025 Jan 10.

Abstract

Topical nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly used to treat sports injuries, but evidence-based medical guidance for their standardized and rational use is lacking. This guideline working group identified clinically important issues, obtained the full opinions of patients and clinical staff, and discussed them with the expert group. Based on evidence from the literature, the "clinical practice guidelines for topical NSAIDs in the treatment of sports injuries" were formulated following the methods and principles of international guidelines. According to these guidelines, 7 clinical concerns were ultimately selected, and 22 recommendations were formed. These included the status, indications, contraindications, efficacy, combined application, use in special populations, adverse reactions, and countermeasures of topical NSAIDs in the treatment of sports injuries. The purpose of these guidelines is to provide evidence-based recommendations for practitioners in the fields of orthopedics, sports medicine, rehabilitation medicine, and sports science, as well as other fields, in the treatment of sports injuries to promote more standardized and rational use of topical NSAIDs.

摘要

外用非甾体抗炎药(NSAIDs)常用于治疗运动损伤,但缺乏关于其规范合理使用的循证医学指导。本指南工作组确定了临床重要问题,征求了患者和临床工作人员的全面意见,并与专家组进行了讨论。基于文献证据,按照国际指南的方法和原则制定了《外用NSAIDs治疗运动损伤的临床实践指南》。根据这些指南,最终筛选出7个临床关注点,并形成了22条推荐意见。这些内容包括外用NSAIDs在治疗运动损伤中的地位、适应证、禁忌证、疗效、联合应用、特殊人群使用、不良反应及应对措施等。这些指南的目的是为骨科、运动医学、康复医学、运动科学等领域以及其他领域的从业者在治疗运动损伤时提供循证推荐意见,以促进外用NSAIDs更规范、合理地使用。

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