Freie H M
Syntex Arzneimittel GmbH, Aachen.
Fortschr Med. 1991 Oct 30;109(31):643-6.
Overall, the studies available to date show that ketorolac is a powerful analgesic with no action on the central nervous system and a long-lasting effect of rapid onset. The analgesic effectiveness of ketorolac in the treatment of moderate to severe pain, is comparable with that of 10-12 mg of morphine, 100 mg of pethidine, or 30 mg of pentazocine. However, ketorolac, an inhibitor of prostaglandin synthesis, is not subject to the strict regulations of the narcotic drugs law. On account of its favorable adverse reactions profile, ketorolac is particularly well suited for the treatment of postoperative pain. Further major indications are pain associated with trauma to bones and muscles, as also cancer-related pain, in which area, a "saving effect" on simultaneously employed opiates and opioids can be achieved.
总体而言,迄今为止的研究表明,酮咯酸是一种强效镇痛药,对中枢神经系统无作用,起效迅速且作用持久。酮咯酸在治疗中度至重度疼痛方面的镇痛效果与10 - 12毫克吗啡、100毫克哌替啶或30毫克喷他佐辛相当。然而,酮咯酸作为一种前列腺素合成抑制剂,不受麻醉药品法的严格管制。由于其良好的不良反应谱,酮咯酸特别适合用于治疗术后疼痛。其他主要适应症包括与骨骼和肌肉创伤相关的疼痛以及癌症相关疼痛,在这些领域,可以实现对同时使用的阿片类药物和阿片样物质的“节省效应”。