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β-环糊精-吡罗昔康治疗骨关节炎病理活动期

[Beta-cyclodextrin-piroxicam in the treatment of the active phase of osteoarthritic pathology].

作者信息

La Montagna G, Parenti M, Oliani C, Filippi F, Tirri G

机构信息

I Facoltà di Medicina e Chirurgia, Università degli Studi di Napoli.

出版信息

Riv Eur Sci Med Farmacol. 1990 Aug-Oct;12(4-5):265-72.

PMID:2103967
Abstract

The anti-inflammatory and analgesic activity of the beta-cyclodextrin-piroxicam (beta CDP) complex was assessed in a randomized single-blind controlled parallel study vs nabumetone (NAB). Forty patients, 18 men and 22 women aged 18 to 65 and suffering from chronic osteoarthritis, were treated. Both drugs were orally administered, once a day in the morning, for 4 consecutive weeks. PI and SPID, evaluated for 24 hours following the first drug administration, showed a quicker onset of the analgesic action of beta CDP, with statistically significant differences between treatments (p less than 0.05). In the medium-term treatment, beta CDP proved to be more effective on joint swelling, spontaneous pain, pain on passive movement and functional limitation. Both treatments were well tolerated but a higher gastro-intestinal side-effect incidence was recorded in NAB group.

摘要

在一项随机单盲对照平行研究中,对β-环糊精-吡罗昔康(βCDP)复合物与萘丁美酮(NAB)的抗炎和镇痛活性进行了评估。40名年龄在18至65岁之间、患有慢性骨关节炎的患者(18名男性和22名女性)接受了治疗。两种药物均口服给药,每天早上一次,连续服用4周。在首次给药后24小时进行评估的疼痛强度(PI)和疼痛强度差异总和(SPID)显示,βCDP的镇痛作用起效更快,治疗之间存在统计学显著差异(p<0.05)。在中期治疗中,βCDP被证明对关节肿胀、自发疼痛、被动运动时的疼痛和功能受限更有效。两种治疗的耐受性都很好,但NAB组记录到更高的胃肠道副作用发生率。

相似文献

1
[Beta-cyclodextrin-piroxicam in the treatment of the active phase of osteoarthritic pathology].β-环糊精-吡罗昔康治疗骨关节炎病理活动期
Riv Eur Sci Med Farmacol. 1990 Aug-Oct;12(4-5):265-72.
2
[Osteoarthritic disease: therapy with oxicam derivatives].[骨关节炎疾病:昔康衍生物疗法]
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[Analgesic efficacy and the tolerance for piroxicam-beta-cyclodextrin compared to piroxicam, paracetamol and placebo in the treatment of postextraction dental pain].[与吡罗昔康、对乙酰氨基酚和安慰剂相比,吡罗昔康-β-环糊精治疗拔牙后牙痛的镇痛效果及耐受性]
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Efficacy and gastrointestinal tolerability of beta-cyclodextrin-piroxicam and tenoxicam in the treatment of chronic osteoarthritis.β-环糊精-吡罗昔康和替诺昔康治疗慢性骨关节炎的疗效及胃肠道耐受性
Clin Ther. 1990 Nov-Dec;12(6):547-55.
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Evaluation of piroxicam-beta-cyclodextrin, piroxicam, paracetamol and placebo in post-operative oral surgery pain.吡罗昔康-β-环糊精、吡罗昔康、对乙酰氨基酚及安慰剂用于口腔外科术后疼痛的评估
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Effects of piroxicam-beta-cyclodextrin sachets on abnormal postural sway in patients with chronic low back pain.吡罗昔康-β-环糊精散剂对慢性下腰痛患者异常姿势摇摆的影响。
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引用本文的文献

1
Piroxicam-β-cyclodextrin: a GI safer piroxicam.吡罗昔康-β-环糊精:一种胃肠道安全性更高的吡罗昔康。
Curr Med Chem. 2013;20(19):2415-37. doi: 10.2174/09298673113209990115.
2
Piroxicam-beta-cyclodextrin. A review of its pharmacodynamic and pharmacokinetic properties, and therapeutic potential in rheumatic diseases and pain states.吡罗昔康-β-环糊精。对其药效学和药代动力学特性以及在风湿性疾病和疼痛状态中的治疗潜力的综述。
Drugs. 1994 Dec;48(6):907-29. doi: 10.2165/00003495-199448060-00007.