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口服的布朗普顿合剂与吗啡溶液:对疼痛的影响

The Brompton mixture versus morphine solution given orally: effects on pain.

作者信息

Melzack R, Mount B M, Gordon J M

出版信息

Can Med Assoc J. 1979 Feb 17;120(4):435-8.

PMID:376079
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1818901/
Abstract

The Brompton mixture is widely used as an effective method for controlling pain in cancer patients. In a double-blind crossover trial a standard Brompton mixture containing morphine, cocaine, ethyl alcohol, syrup BP and chloroform water was compared with morphine alone in a flavoured aqueous solution; both were administered orally. Pain was measured by means of the pain intensity index of the McGill Pain Questionnaire. Ratings of confusion, nausea and drowsiness were obtained from both the patients and their nurses and relatives. The data showed that there was no significant difference between the Brompton mixture and morphine administered orally for any of the variables. Both relieved pain effectively in about 85% of the patients.

摘要

布朗普顿合剂被广泛用作控制癌症患者疼痛的有效方法。在一项双盲交叉试验中,将含有吗啡、可卡因、乙醇、英国药典糖浆和氯仿水的标准布朗普顿合剂与单独的吗啡加调味水溶液进行了比较;两者均口服给药。通过麦吉尔疼痛问卷的疼痛强度指数来测量疼痛。从患者及其护士和亲属那里获得了关于意识模糊、恶心和嗜睡的评分。数据表明,对于任何变量,布朗普顿合剂和口服吗啡之间没有显著差异。两者在约85%的患者中均有效缓解了疼痛。

相似文献

1
The Brompton mixture versus morphine solution given orally: effects on pain.口服的布朗普顿合剂与吗啡溶液:对疼痛的影响
Can Med Assoc J. 1979 Feb 17;120(4):435-8.
2
The Brompton mixture: effects on pain in cancer patients.布朗普顿合剂:对癌症患者疼痛的影响
Can Med Assoc J. 1976 Jul 17;115(2):125-9.
3
Use of the Brompton mixture in treating the chronic pain of malignant disease.使用布朗普顿合剂治疗恶性疾病的慢性疼痛。
Can Med Assoc J. 1976 Jul 17;115(2):122-4.
4
Respiratory care update! Brompton mixture.呼吸护理最新消息!布朗普顿合剂。
Crit Care Update. 1983 Mar;10(3):54.
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[Treatment of intolerable pain in the patients with terminal cancer--effects of the Brompton mixture (author's transl)].晚期癌症患者难以忍受的疼痛治疗——布朗普顿合剂的效果(作者译)
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Kangogaku Zasshi. 1985 Jul;49(7):809-12.
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Rev Esp Anestesiol Reanim. 1983 Nov-Dec;30(6):230-6.
9
[Experiences with an oral cocaine-morphine solution (Brompton mixture) in the treatment of severe pain in patients with neoplasms].
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The management of intractable pain in patients with advanced malignant disease.晚期恶性疾病患者顽固性疼痛的管理
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引用本文的文献

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2
Impact of morphine, fentanyl, oxycodone or codeine on patient consciousness, appetite and thirst when used to treat cancer pain.吗啡、芬太尼、羟考酮或可待因用于治疗癌痛时对患者意识、食欲和口渴的影响。
Cochrane Database Syst Rev. 2014 May 29;2014(5):CD011056. doi: 10.1002/14651858.CD011056.pub2.
3
Assessing symptom control in palliative home care.评估姑息治疗居家护理中的症状控制。
Can Fam Physician. 1984 Nov;30:2274-80.
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Controlled clinical trials in cancer pain. How controlled should they be? A qualitative systematic review.癌症疼痛的对照临床试验。它们应该如何进行对照?一项定性系统评价。
Br J Cancer. 2006 Jun 5;94(11):1559-67. doi: 10.1038/sj.bjc.6603162.
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Steady-state kinetics and analgesic effect of oral morphine in cancer patients.
Eur J Clin Pharmacol. 1983;24(4):537-42. doi: 10.1007/BF00609900.
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Newer methods of delivery of opiates for relief of pain.用于缓解疼痛的新型阿片类药物给药方法。
Drugs. 1985 Dec;30(6):539-51. doi: 10.2165/00003495-198530060-00005.
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High-dose morphine and methadone in cancer patients. Clinical pharmacokinetic considerations of oral treatment.癌症患者的大剂量吗啡和美沙酮。口服治疗的临床药代动力学考量
Clin Pharmacokinet. 1986 Mar-Apr;11(2):87-106. doi: 10.2165/00003088-198611020-00001.
8
A practical approach to improving pain control in cancer patients.改善癌症患者疼痛控制的实用方法。
West J Med. 1987 May;146(5):580-4.
9
Drug management of pain in cancer patients.癌症患者疼痛的药物管理
Can Med Assoc J. 1985 Jan 15;132(2):121-34.
10
Control of severe pain with sustained-release morphine tablets v. oral morphine solution.缓释吗啡片与口服吗啡溶液用于控制重度疼痛的比较
CMAJ. 1989 Mar 15;140(6):653-7, 661.

本文引用的文献

1
Alcohol intolerance in neoplastic disease.肿瘤疾病中的酒精不耐受
Br Med J. 1966 Aug 20;2(5511):437-41. doi: 10.1136/bmj.2.5511.437.
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Clinical experience with diamorphine in advanced malignant disease.二乙酰吗啡在晚期恶性疾病中的临床经验。
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The Brompton mixture: effects on pain in cancer patients.布朗普顿合剂:对癌症患者疼痛的影响
Can Med Assoc J. 1976 Jul 17;115(2):125-9.
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Use of the Brompton mixture in treating the chronic pain of malignant disease.使用布朗普顿合剂治疗恶性疾病的慢性疼痛。
Can Med Assoc J. 1976 Jul 17;115(2):122-4.
8
The problem of caring for the dying in a general hospital; the palliative care unit as a possible solution.综合医院中临终关怀的问题;姑息治疗病房作为一种可能的解决方案。
Can Med Assoc J. 1976 Jul 17;115(2):119-21.
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Oral cocaine: plasma concentrations and central effects.口服可卡因:血浆浓度与中枢效应。
Science. 1978 Apr 14;200(4338):211-3. doi: 10.1126/science.24895.