臺灣大專優秀選手藥品使用之現況

Medication Use by Elite Collegiate Athletes in Taiwan

10.5297/ser.1301.011

林益安(Yi-An Lin)；蔡宗晏(Zong-Yan Tsai)；徐谷甫(Ku-Fu Hsu)；曾玉華(Yu-Wa Tseng)；黃瓊儀(Gisele Chung-I Hung)；陳志弘(Chih-Hung Chen)；許美智(Mei-Chich Hsu)

大運會 ； 止痛消炎藥 ； 用藥調查 ； 運動禁藥 ； National Intercollegiate Athletic Games ； analgesics ； surveys of medication ； doping

大專體育學刊

13卷1期（2011 / 03 / 01）

95 - 100

繁體中文;英文

本次研究將對臺灣大專優秀選手進行藥品使用的調查，以瞭解近來優秀選手的藥品使用率及何種藥品類別選手使用上較為頻繁，並比較男、女性選手於藥品使用情況上是否有所不同。此次進行調查的時間為2007年大專運動會期間，受訪選手為接受運動禁藥抽驗之74位選手（男41人，女33人），藉由訪談瞭解每位選手近2個星期以來使用藥品的情形。使用的統計方法計包括描述性統計、卡方檢定、獨立樣本t考驗、重複量數單因子變異數分析。結果顯示大專優秀選手之藥品使用率為32.4%，平均每位選手使用0.43±0.09種不同種類的藥品。各類藥品中使用率最高者為止痛消炎藥，且顯著高於腸胃藥、調經藥、肌肉鬆弛劑、抗生素、抗過敏藥（供鼻使用）等五類藥品（p<.05）。不同性別上，女性選手於藥品使用率（45.5%）以及藥品的使用種類數（0.70±0.18）皆高於男性選手（各為22%與0.22±0.07；p<.05）。不同類別藥品中，女性選手使用調經藥（9.1%）、中藥（15.2%）二類藥品亦顯著高於男性選手（各為0%與2.4%；p<.05）。本次研究提供了2007年大專優秀選手的用藥情況，與早期臺灣研究相較之下可發現近來優秀選手在藥品使用率上有下降的趨勢。

This study was aimed to understand medication use by elite college athletes in Taiwan. This study surveyed 74 athletes (41 males, 33 females) who were selected for doping control at the National Intercollegiate Athletic Games during the year 2007 in Taiwan. The athletes were asked to declare the use of medication 14 days prior to the games. The data was analyzed by descriptive statistics, chi-square test, independent t-test and one-way repeated measures ANOVA. The results indicated that 32.4% of the athletes used medication, with each athlete used an average 0.43±0.09 different types. Analgesic drugs were the highest prevalence of different types of medicines used (32.4%), and significantly higher than the usage of gastrointestinal drugs, contraceptives, antibiotics, muscle relaxants and nasal antiallergics (p＜.05). Compared with male athletes, female athletes had a higher prevalence and more different types of medication (p＜.05). Among different medications, the usage of contraceptives and Chinese herbal medicines in female athletes were significantly higher than those in male athletes (p＜.05). These results presented the status of medication used in elite college athletes in Taiwan. The usage rate of medication in this study was lower than previous surveys.

1. 蔡宗晏、徐谷甫、林益安、曾玉華、黃瓊誼、許美智(2009)。臺灣優秀運動選手使用營養增補劑的現況。大專體育學刊，11(4)，141-152。
   連結：
2. Alaranta, A.,Alaranta, H.,Heliövaara, M.,Airaksinen, M.,Helenius, I.(2006).Ample use of physician-prescribed medications in Finnish elite athletes.International Journal of Sports Medicine,27(11),919-925.
3. Almekinders, L. C.(1999).Anti-inflammatory treatment of muscular injuries in sport. An update of recent studies.Sports Medicine,28(6),383-388.
4. Baker, J.,Cotter, J. D.,Gerrard, D. F.,Bell, M. L.,Walker, R. J.(2005).Effects of indomethacin and celecoxib on renal function in athletes.Medicine and Science in Sports and Exercise,37(5),712-717.
5. Corrigan, B.,Kazlauskas, R.(2003).Medication use in athletes selected for doping control at the Sydney Olympics 2000.Clinical Journal of Sport Medicine,13,33-40.
6. Huang, S. H.,Johnson, K.,Pipe, A. L.(2006).The use of dietary supplements and medications by Canadian athletes at the Atlanta and Sydney Olympic Games.Clinical Journal of Sport Medicine,16,27-33.
7. Shen, W.,Prisk, V.,Li, Y.,Foster, W.,Huard, J.(2006).Inhibited skeletal muscle healing in cyclooxygenase-2 gene-deficient mice: The role of PGE2 and PGF2alpha.Journal of Applied Physiology,101(4),1215-1221.
8. Simon, L. S.(1996).Actions and toxicity of non-steroidal anti-inflammatory drugs.Current Opinion in Rheumatology,8,169-175.
9. Tscholl, P.,Alonso, J. M.,Dollé, G.,Junge, A.,Dvorak, J.(2010).The use of drugs and nutritional supplements in top-level track and field athletes.The American Journal of Sports Medicine,38,133-140.
10. Tscholl, P.,Feddermann, N.,Junge, A.,Dvorak, J.(2009).The use and abuse of painkillers in international soccer: Data from 6 FIFA tournaments for female and youth players.The American Journal of Sports Medicine,37,260-265.
11. Tsitsimpikou, C.,Tsiokanos, A.,Tsarouhas, K.,Schamasch, P.,Fitch, K. D.,Valasiadis, D.(2009).Medication use by athletes at the Athens 2004 Summer Olympic Games.Clinical Journal of Sport Medicine,19,33-38.
12. 王翠敏、許美智(1998)。臺灣區運動會83-86 年選手用藥之調查研究。中華體育，12(2)，120-128。

1. 陳亭亭、許美智、張簡國平、林淑芬(2013)。類固醇運動禁藥分析方法之建立。大專體育學刊，15(4)，491-505。
2. 劉汶璋、許美智(2013)。治療青春痘之運動禁藥 Spironolactone。大專體育，126，53-58。