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采用序贯试验设计比较产后疼痛治疗方法。I. 对乙酰氨基酚与安慰剂的比较。

Comparison of postpartum pain treatments using a sequential trial design. I. Paracetamol versus placebo.

作者信息

Skovlund E, Fyllingen G, Landre H, Nesheim B I

机构信息

Department of Informatics, University of Oslo, Norway.

出版信息

Eur J Clin Pharmacol. 1991;40(4):343-7. doi: 10.1007/BF00265841.

DOI:10.1007/BF00265841
PMID:2050168
Abstract

A new sequential test has been used to compare the effect of paracetamol and placebo on uterine cramping. Paracetamol was significantly superior to placebo at the 5% level. 75 patients were included in the trial, whereas in a fixed sample study 90 patients would have been required to obtain the same significance level and power. The magnitude of the difference in treatment effect was estimated following the sequential test. In addition to the effect on uterine pain, which was the primary variable, the effect on episiotomy pain was also estimated. Paracetamol was also superior to placebo against the episiotomy pain.

摘要

一种新的序贯检验已被用于比较对乙酰氨基酚和安慰剂对子宫绞痛的影响。在5%的显著水平上,对乙酰氨基酚显著优于安慰剂。该试验纳入了75名患者,而在固定样本研究中,要获得相同的显著水平和检验效能则需要90名患者。序贯检验后估计了治疗效果差异的大小。除了对作为主要变量的子宫疼痛的影响外,还估计了对会阴切开术疼痛的影响。在缓解会阴切开术疼痛方面,对乙酰氨基酚也优于安慰剂。

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1
Comparison of postpartum pain treatments using a sequential trial design. I. Paracetamol versus placebo.采用序贯试验设计比较产后疼痛治疗方法。I. 对乙酰氨基酚与安慰剂的比较。
Eur J Clin Pharmacol. 1991;40(4):343-7. doi: 10.1007/BF00265841.
2
Comparison of postpartum pain treatments using a sequential trial design: II. Naproxen versus paracetamol.采用序贯试验设计比较产后疼痛治疗方法:II. 萘普生与对乙酰氨基酚的比较。
Eur J Clin Pharmacol. 1991;40(6):539-42. doi: 10.1007/BF00279965.
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A controlled comparison of dipyrone and paracetamol in post-episiotomy pain.双氯芬酸与对乙酰氨基酚用于会阴切开术后疼痛的对照比较。
Curr Med Res Opin. 1980;6(9):614-8. doi: 10.1185/03007998009109497.
4
[Analgesic effect of ibuprofen in pain after episiotomy].[布洛芬对会阴切开术后疼痛的镇痛效果]
Ann Fr Anesth Reanim. 1992;11(1):22-6. doi: 10.1016/s0750-7658(05)80316-8.
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Acetaminophen with codeine for the relief of severe pain in postpartum patients.对乙酰氨基酚与可待因用于缓解产后患者的剧痛。
Curr Ther Res Clin Exp. 1974 Sep;16(9):921-7.
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A comparison of four analgesics in post-episiotomy pain.四种镇痛药用于会阴切开术后疼痛的比较。
Indian J Physiol Pharmacol. 1990 Jan;34(1):34-8.
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Diflunisal in post-episiotomy pain: a preliminary report of a double-blind comparative study.双氯芬酸用于会阴切开术后疼痛:一项双盲对照研究的初步报告。
Curr Med Res Opin. 1978;5(7):548-9. doi: 10.1185/03007997809108999.
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Br J Clin Pharmacol. 1980 Oct;10 Suppl 2(Suppl 2):215S-223S.
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A single-tablet fixed-dose combination of racemic ibuprofen/paracetamol in the management of moderate to severe postoperative dental pain in adult and adolescent patients: a multicenter, two-stage, randomized, double-blind, parallel-group, placebo-controlled, factorial study.在成人和青少年患者中,治疗中重度术后牙科疼痛的消旋布洛芬/扑热息痛单片固定剂量复方制剂:一项多中心、两阶段、随机、双盲、平行组、安慰剂对照、析因研究。
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Placebo controls: historical, methodological and general aspects.安慰剂对照:历史、方法学和一般方面。

本文引用的文献

1
A comparison of acetophenetidin and acetaminophen. I. Analgesic effects in postpartum patients.非那西丁与对乙酰氨基酚的比较。I. 对产后患者的镇痛效果
J Pharmacol Exp Ther. 1967 Feb;155(2):296-300.
2
Acetaminophen versus propoxyphene hydrochloride for relief of pain in episiotomy patients.
J Clin Pharmacol. 1973 Jul;13(7):251-63. doi: 10.1002/j.1552-4604.1973.tb00265.x.
3
Acetaminophen with codeine for the relief of severe pain in postpartum patients.对乙酰氨基酚与可待因用于缓解产后患者的剧痛。
Philos Trans R Soc Lond B Biol Sci. 2011 Jun 27;366(1572):1870-8. doi: 10.1098/rstb.2010.0401.
4
A combination of misoprostol and estradiol for preoperative cervical ripening in postmenopausal women: a randomised controlled trial.米索前列醇联合雌二醇用于绝经后妇女术前宫颈成熟:一项随机对照试验。
BJOG. 2010 Jan;117(1):53-61. doi: 10.1111/j.1471-0528.2009.02435.x.
5
Single dose oral paracetamol (acetaminophen) for postoperative pain in adults.单剂量口服对乙酰氨基酚用于成人术后疼痛
Cochrane Database Syst Rev. 2008 Oct 8;2008(4):CD004602. doi: 10.1002/14651858.CD004602.pub2.
6
Does self-administered vaginal misoprostol result in cervical ripening in postmenopausal women after 14 days of pre-treatment with estradiol? Trial protocol for a randomised, placebo-controlled sequential trial.在绝经后女性中,经14天雌二醇预处理后,自行阴道使用米索前列醇是否会导致宫颈成熟?一项随机、安慰剂对照序贯试验的试验方案。
BJOG. 2008 Jun;115(7):917-e10. doi: 10.1111/j.1471-0528.2008.01727.x.
7
[Clinical significance of the placebo effect].[安慰剂效应的临床意义]
Anaesthesist. 2008 May;57(5):447-63. doi: 10.1007/s00101-008-1370-6.
8
Comparison of self-administered vaginal misoprostol versus placebo for cervical ripening prior to operative hysteroscopy using a sequential trial design.采用序贯试验设计比较自我给药米索前列醇与安慰剂用于宫腔镜手术前宫颈成熟的效果。
BJOG. 2008 Apr;115(5):663, e1-9. doi: 10.1111/j.1471-0528.2007.01628.x. Epub 2008 Jan 16.
9
Circular instead of hierarchical: methodological principles for the evaluation of complex interventions.循环而非层级:复杂干预评估的方法学原则
BMC Med Res Methodol. 2006 Jun 24;6:29. doi: 10.1186/1471-2288-6-29.
10
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Eur J Clin Pharmacol. 1991;40(6):539-42. doi: 10.1007/BF00279965.
Curr Ther Res Clin Exp. 1974 Sep;16(9):921-7.
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Lancet. 1974 Nov 9;2(7889):1127-31. doi: 10.1016/s0140-6736(74)90884-8.
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Effect of acetylsalicylic acid, paracetamol, and placebo on pain and blood loss in dysmenorrhoeic women.
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