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拔除阻生磨牙后用甲氯芬那酸钠控制疼痛。

Control of pain with meclofenamate sodium following removal of an impacted molar.

作者信息

Rowe N H, Aseltine L F, Turner J L

出版信息

Oral Surg Oral Med Oral Pathol. 1985 May;59(5):446-8. doi: 10.1016/0030-4220(85)90078-7.

DOI:10.1016/0030-4220(85)90078-7
PMID:3892406
Abstract

The analgesic effectiveness of meclofenamate sodium (Meclomen) at two dose levels, 200 mg and 100 mg, was compared with the effectiveness of a placebo and aspirin, 600 mg, in a double-blind study of 174 adult outpatients who had undergone removal of impacted third molars. When compared with the placebo, meclofenamate sodium at either dose level produced a significantly greater reduction in pain intensity, greater pain relief, fewer withdrawals for inefficacy, greater percentage of patients who considered their medication effective, and greater percentage of patients considered by the investigator to have received drug-attributable benefits. In comparison with aspirin, 600 mg, meclofenamate sodium at either 200 mg or 100 mg produced significantly greater reduction in pain intensity and greater pain relief. The other measures of efficacy showed no significant differences between the two drugs. Side effects were minimal in all treatment groups. Meclofenamate sodium appears to be a safe and effective analgesic for the control of pain.

摘要

在一项针对174名拔除阻生第三磨牙的成年门诊患者的双盲研究中,比较了两种剂量水平(200毫克和100毫克)的甲氯芬那酸钠(甲氯灭酸)与安慰剂及600毫克阿司匹林的镇痛效果。与安慰剂相比,任一剂量水平的甲氯芬那酸钠在疼痛强度降低方面均显著更大,疼痛缓解程度更高,因无效而退出的人数更少,认为其药物有效的患者百分比更高,且研究者认为获得药物相关益处的患者百分比更高。与600毫克阿司匹林相比,200毫克或100毫克的甲氯芬那酸钠在疼痛强度降低和疼痛缓解方面均显著更大。其他疗效指标显示两种药物之间无显著差异。所有治疗组的副作用均最小。甲氯芬那酸钠似乎是一种控制疼痛的安全有效的镇痛药。

相似文献

1
Control of pain with meclofenamate sodium following removal of an impacted molar.拔除阻生磨牙后用甲氯芬那酸钠控制疼痛。
Oral Surg Oral Med Oral Pathol. 1985 May;59(5):446-8. doi: 10.1016/0030-4220(85)90078-7.
2
Comparison of meclofenamate sodium with buffered aspirin and placebo in the treatment of postsurgical dental pain.甲氯芬那酸钠与缓冲阿司匹林及安慰剂治疗术后牙痛的比较。
J Oral Maxillofac Surg. 1985 Jul;43(7):517-22. doi: 10.1016/s0278-2391(85)80030-6.
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Analgesic efficacy of meclofenamate sodium in episiotomy pain.甲氯芬那酸钠治疗会阴切开术后疼痛的镇痛效果。
Pharmacotherapy. 1986 Sep-Oct;6(5):205-10. doi: 10.1002/j.1875-9114.1986.tb03478.x.
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Comparison of meclofenamate sodium with buffered aspirin and placebo for the relief of postoperative dental pain.甲氯芬那酸钠与缓冲阿司匹林及安慰剂缓解术后牙痛的比较。
Clin Ther. 1987;9(6):594-601.
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Double-blind comparison of meclofenamate sodium plus codeine, meclofenamate sodium, codeine, and placebo for relief of pain following surgical removal of third molars.双盲比较甲氯芬那酸钠加可待因、甲氯芬那酸钠、可待因及安慰剂对拔除第三磨牙后疼痛的缓解作用。
J Oral Maxillofac Surg. 1990 Aug;48(8):785-90. doi: 10.1016/0278-2391(90)90332-v.
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Double-blind comparison of meclofenamate sodium with codeine and placebo for the pain of episiotomy.甲氯芬那酸钠与可待因及安慰剂治疗会阴切开术后疼痛的双盲比较。
Clin Ther. 1987;9(6):578-84.
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Double-blind comparison of meclofenamate sodium with acetaminophen, acetaminophen with codeine and placebo for relief of postsurgical dental pain.甲氯芬那酸钠与对乙酰氨基酚、对乙酰氨基酚与可待因及安慰剂治疗术后牙痛的双盲比较
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Simultaneous objective and subjective evaluation of meclofenamate sodium in the treatment of primary dysmenorrhea.双氯芬酸钠治疗原发性痛经的客观与主观疗效同步评估
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Treatment of menorrhagia with meclofenamate sodium.用甲氯芬那酸钠治疗月经过多。
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引用本文的文献

1
Single dose oral aspirin for acute postoperative pain in adults.单剂量口服阿司匹林用于成人术后急性疼痛
Cochrane Database Syst Rev. 2012 Apr 18;2012(4):CD002067. doi: 10.1002/14651858.CD002067.pub2.
2
The efficacy of nonopioid analgesics for postoperative dental pain: a meta-analysis.非阿片类镇痛药用于术后牙痛的疗效:一项荟萃分析。
Anesth Prog. 1997 Fall;44(4):119-26.