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氨酚待因Ⅱ号片扩大临床验证镇痛效果及其与用药剂量相关程度的分析

EXPANDING TRAIL OF ANALGESIC EFFECT OF PARACETAMOL CODEIN No.2 AND ANALYSIS OF RELATIVE DEGREE WITH DOSAGE

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【作者】 刘锐克; 吕宪祥; 王晓平; 霍丰; 孙莉; 徐国柱;

【Author】 Liu Ruike1, Lu Xianxiang1, Wang Xiaoping2, Huo Feng3, Sun Li4, Xu Guozhu11(National Institute on Drug Dependence, Beijing Medical University, Beijing,100083)2(Beijing General Railway Hospital, Beijing,100038)3(Naval General Hospital, Beijing,100037)4(Cancer Hospital Chinese Academy of Medical Sciences, Beijing,100021)

【机构】 北京医科大学中国药物依赖性研究所!北京; 100083; 铁路总医院!北京; 100038; 海军总医院!北京; 100037; 中国医学科学院肿瘤医院!北京; 100021;

【摘要】 目的··:进一步确认氨酚待因Ⅱ号片(安度芬)的镇痛效果、不良反应及其与用药剂量的关系,以便更好地指导临床用药。方法··:采用无对照开放试验进行100例扩大临床验证。通过滴定期内每日剂量的调整,寻找癌症患者24h内不疼或基本不疼的给药方案。结果··:只要用药剂量调整到位,中度疼痛均能完全缓解,未发现明显不良反应。通过调整后的日剂量与用药前的疼痛强度呈正相关;平均日剂量应为6-8片。结论··:再次证实安度芬是一个镇痛效果较强,不良反应较小的镇痛药。可广泛用于中度疼痛和癌症患者的Ⅱ阶梯镇痛。

【Abstract】 Objective: To prove the analgesic effect of paracetamol codein No.2 tablets and the relative degree with dosage so as to establish a rational administration in clinical practice. Method: Use open clinical trail of 100 cancer patients in terminal state with moderate pain. To confirm daily dose according to adjustment by using dose titration studies. Result: The dosage was positively related to pain intensity before administration; its usual daily dose was 6-8 tablets. Conclusion: Paracetamol codein No.2 tablet is a strong analgesic with fewer side effects. It can be used widely by cancer patients for controlling moderate pain on the second step analgesic ladder.

  • 【文献出处】 中国药物依赖性杂志 ,Chinese Journal of Drug Dependence , 编辑部邮箱 ,1999年04期
  • 【分类号】R969
  • 【被引频次】3
  • 【下载频次】30
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