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替诺昔康与双氯芬酸钠对胃十二指肠耐受性的比较。一项在健康志愿者中进行的双盲、内镜对照研究。

Comparison of the gastroduodenal tolerance of tenoxicam and diclofenac Na. A double-blind, endoscopically controlled study in healthy volunteers.

作者信息

Müller P, Dammann H G, Leucht U, Simon B

机构信息

Gastroenterologische Abteilung, Medizinische Universitätsklinik Heidelberg, Federal Republic of Germany.

出版信息

Eur J Clin Pharmacol. 1989;36(4):419-21. doi: 10.1007/BF00558307.

DOI:10.1007/BF00558307
PMID:2737236
Abstract

The gastroduodenal tolerance of Tenoxicam and Diclofenac Na has been evaluated in a double-blind, parallel group study in 36 healthy male volunteers. The doses used were 20 mg Tenoxicam and 100 mg Diclofenac Na daily in a retard formulation for 14 days. Gastric tolerance was assessed by endoscopy, which was performed at base-line, after the 14 day dosing period and after a 14 day follow-up period without treatment. The mucosal lesions were scored using modified Lanza criteria. Tenoxicam was significantly better tolerated at the end of the 14 day dosing period (mean gastric score: Tenoxicam 1.3; Diclofenac Na 2.2). The two treatment groups had comparable scores at the base-line and post study assessments. Tenoxicam and Diclofenac Na were generally well tolerated. Only two volunteers reported intermittant lack of appetite, heartburn and a feeling of pressure in the stomach.

摘要

在一项针对36名健康男性志愿者的双盲平行组研究中,已对替诺昔康和双氯芬酸钠的胃十二指肠耐受性进行了评估。所使用的剂量为每日20毫克替诺昔康和100毫克双氯芬酸钠缓释制剂,持续14天。通过内镜检查评估胃耐受性,内镜检查在基线、14天给药期后以及14天无治疗随访期后进行。使用改良的兰扎标准对粘膜病变进行评分。在14天给药期结束时,替诺昔康的耐受性明显更好(平均胃评分:替诺昔康1.3;双氯芬酸钠2.2)。两个治疗组在基线和研究后评估中的评分相当。替诺昔康和双氯芬酸钠总体耐受性良好。只有两名志愿者报告间歇性食欲不振、烧心和胃部有压迫感。

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本文引用的文献

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Endoscopic studies of gastric and duodenal injury after the use of ibuprofen, aspirin, and other nonsteroidal anti-inflammatory agents.使用布洛芬、阿司匹林及其他非甾体抗炎药后胃和十二指肠损伤的内镜研究。
Am J Med. 1984 Jul 13;77(1A):19-24. doi: 10.1016/s0002-9343(84)80014-5.
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Gastrointestinal effects of antipyretic analgesics.解热镇痛药的胃肠道效应。
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Tenoxicam. A preliminary review of its pharmacodynamic and pharmacokinetic properties, and therapeutic efficacy.替诺昔康。对其药效学、药代动力学特性及治疗效果的初步综述。
Drugs. 1987 Sep;34(3):289-310. doi: 10.2165/00003495-198734030-00001.
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Non-steroidal anti-inflammatory drugs and bleeding peptic ulcer.非甾体抗炎药与出血性消化性溃疡
Lancet. 1986 Mar 1;1(8479):462-4. doi: 10.1016/s0140-6736(86)92927-2.