Ernst E, Fialka V
Klinik für Physikalische Medizin und Rehabilitation, Universität Wien.
Fortschr Med. 1993 Jul 10;111(19):329-31.
Drug treatment of back pain is a useful adjunct to initial bedrest. A number of groups of drugs have proved effective. Analgesics and non-steroidal anti-inflammatory drugs can be recommended for short term treatment of acute cases. The effectiveness of muscle relaxants is unclear and, if prescribed they should be given only over the short term. Tricyclic antidepressants should be given only to patients with chronic pain complicated by a depressive component. A number of injection techniques are available for the treatment of refractory severe pain.
背痛的药物治疗是初始卧床休息的有益辅助手段。若干类药物已被证明有效。镇痛药和非甾体抗炎药可推荐用于急性病例的短期治疗。肌肉松弛剂的有效性尚不清楚,若开具此类药物,应仅短期使用。三环类抗抑郁药仅应给予伴有抑郁成分的慢性疼痛患者。有多种注射技术可用于治疗难治性剧痛。