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围手术期酮咯酸在高危乳腺癌患者中的应用。一项前瞻性随机安慰剂对照试验的原理、可行性和方法学。

Perioperative ketorolac in high risk breast cancer patients. Rationale, feasibility and methodology of a prospective randomized placebo-controlled trial.

机构信息

Department of Anesthesiology, Cliniques universitaires Saint-Luc, Université catholique de Louvain, Brussels, Belgium.

出版信息

Med Hypotheses. 2013 Oct;81(4):707-12. doi: 10.1016/j.mehy.2013.07.033. Epub 2013 Aug 9.

DOI:10.1016/j.mehy.2013.07.033
PMID:23937996
Abstract

Ketorolac, a NSAID routinely used during surgery proposed to have anticancer effects, is a promising way to improve postoperative oncological outcome. This effect may be particularly prominent in patients with elevated preoperative inflammatory scores, like the neutrophil:lymphocyte ratio. In this paper, we describe the rationale, the preliminary analyses in our patients, the feasibility and the methodology of a prospective randomized trial called "Ketorolac in Breast Cancer trial" (KBCt) (NCT01806259).

摘要

酮咯酸,一种常用于手术的 NSAID,据报道具有抗癌作用,是改善术后肿瘤学结果的一种很有前途的方法。这种作用在术前炎症评分升高的患者中可能更为显著,如中性粒细胞与淋巴细胞比值。本文描述了一项名为“乳腺癌中酮咯酸试验”(KBCt)的前瞻性随机试验的原理、初步分析、可行性和方法(NCT01806259)。

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Perioperative ketorolac in high risk breast cancer patients. Rationale, feasibility and methodology of a prospective randomized placebo-controlled trial.围手术期酮咯酸在高危乳腺癌患者中的应用。一项前瞻性随机安慰剂对照试验的原理、可行性和方法学。
Med Hypotheses. 2013 Oct;81(4):707-12. doi: 10.1016/j.mehy.2013.07.033. Epub 2013 Aug 9.
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NSAID analgesic ketorolac used perioperatively may suppress early breast cancer relapse: particular relevance to triple negative subgroup.围手术期使用 NSAID 类镇痛药酮咯酸可能抑制早期乳腺癌复发:对三阴性亚组具有特殊意义。
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Intraoperative ketorolac in high-risk breast cancer patients. A prospective, randomized, placebo-controlled clinical trial.高风险乳腺癌患者术中应用酮咯酸。一项前瞻性、随机、安慰剂对照临床试验。
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Intraoperative use of ketorolac or diclofenac is associated with improved disease-free survival and overall survival in conservative breast cancer surgery.酮咯酸或双氯芬酸在乳腺癌保乳手术中的应用与无病生存率和总生存率的提高有关。
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Amethocaine or ketorolac eyedrops provide inadequate analgesia in pediatric strabismus surgery.丁卡因或酮咯酸滴眼液在小儿斜视手术中镇痛效果不佳。
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Ketorolac use for postoperative pain management following lumbar decompression surgery: a prospective, randomized, double-blinded, placebo-controlled trial.酮咯酸用于腰椎减压术后疼痛管理:一项前瞻性、随机、双盲、安慰剂对照试验。
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Low-dose ketorolac improves analgesia and reduces morphine requirements following posterior spinal fusion in adolescents.低剂量酮咯酸可改善青少年后路脊柱融合术后的镇痛效果并减少吗啡用量。
Can J Anaesth. 2002 May;49(5):461-6. doi: 10.1007/BF03017921.
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Ketorolac for paediatric postoperative pain. A review.酮咯酸用于小儿术后疼痛。综述。
Minerva Anestesiol. 2000 Oct;66(10):749-56.

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