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服用吲哚美辛、阿司匹林和布洛芬期间的胃肠道失血。

Gastro-intestinal blood loss during administration of indoprofen, aspirin and ibuprofen.

作者信息

Porro G B, Corvi G, Fuccella L M, Goldaniga G C, Valzelli G

出版信息

J Int Med Res. 1977;5(3):155-60. doi: 10.1177/030006057700500302.

Abstract

The acute effect of three non-steroidal anti-inflammatory drugs, ibuprofen, acetylsalicylic acid (ASA) and indoprofen, on faecal blood loss was investigated in 15 subjects by means of 51Cr-labelled erythrocytes. Ibuprofen (900 mg/day for 5 days) and indoprofen capsules and tablets (300 mg and 600 mg/day for 5 days, respectively) slightly increased the amount of blood eliminated in faeces. The increase was of the same order of magnitude for both doses of indoprofen. ASA (1,500 mg/day for 5 days) caused about a 6-fold increase in blood loss. Four days after withdrawal of ASA, faecal blood was still about twice as high as in faeces of subjects given ibuprofen and indoprofen. The method appears sensitive and reliable for comparison of the immediate effect of anti-inflammatory drugs on gastro-intestinal mucosa.

摘要

通过使用51Cr标记的红细胞,对15名受试者研究了三种非甾体抗炎药布洛芬、乙酰水杨酸(ASA)和吲哚洛芬对粪便失血的急性影响。布洛芬(900毫克/天,持续5天)以及吲哚洛芬胶囊和片剂(分别为300毫克/天和600毫克/天,持续5天)使粪便中排出的血量略有增加。两种剂量的吲哚洛芬导致的增加幅度相同。ASA(1500毫克/天,持续5天)使失血量增加了约6倍。停用ASA四天后,粪便中的血量仍比服用布洛芬和吲哚洛芬的受试者粪便中的血量高出约两倍。该方法对于比较抗炎药对胃肠道黏膜的即时作用似乎敏感且可靠。

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