Geisler C, Gøtzche P C, Hansen S S, Juul K, Plesner A M, Nissen N I
Scand J Haematol. 1985 Sep;35(3):325-8. doi: 10.1111/j.1600-0609.1985.tb01713.x.
In 28 febrile patients with malignant lymphoma or leukaemia, the hourly temperatures were recorded following an oral dose of 125 mg naproxen (50% of normal single adult analgesic dose). 15 patients had clinical infection, and 13 had fever secondary to their malignant disease. Compared to controls, there was no significant antipyretic effect of 125 mg naproxen in infected patients, whereas this small dose in patients without infection had a significant effect. In the uninfected patients, the antipyretic effect was significantly more marked in fever related to Hodgkin's disease than to non-Hodgkin lymphoma or leukaemia. This selective antipyretic effect of a prostaglandin-synthesis inhibitor in tumour-related fever, especially in Hodgkin's disease, is unexplained but may be useful in the palliative treatment of patients with advanced disease.
在28例恶性淋巴瘤或白血病发热患者中,口服125毫克萘普生(正常成人单次镇痛剂量的50%)后,每小时记录一次体温。15例患者有临床感染,13例患者因恶性疾病继发发热。与对照组相比,125毫克萘普生对感染患者没有显著的退热作用,而对未感染患者,这个小剂量却有显著效果。在未感染患者中,与非霍奇金淋巴瘤或白血病相关的发热相比,与霍奇金病相关的发热中,萘普生的退热作用明显更显著。这种前列腺素合成抑制剂在肿瘤相关性发热,尤其是霍奇金病中的选择性退热作用尚无法解释,但可能对晚期疾病患者的姑息治疗有用。