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按需静脉注射丁丙诺啡与哌替啶以缓解术后疼痛的比较。

Comparison of buprenorphine and pethidine given intravenously on demand to relieve postoperative pain.

作者信息

Chakravarty K, Tucker W, Rosen M, Vickers M D

出版信息

Br Med J. 1979 Oct 13;2(6195):895-7. doi: 10.1136/bmj.2.6195.895.

DOI:10.1136/bmj.2.6195.895
PMID:391321
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1596754/
Abstract

In a double-blind study of on-demand intravenous analgesia buprenorphine was found to be about 600 times as potent as pethidine. The incidence of side effects was similar with both drugs. The quality of analgesia, subjectively assessed, was good with both drugs using this method of administration. Provided that its low potential for abuse is substantiated, buprenorphine appears to be a powerful analgesic that may successfully be given intravenously on demand.

摘要

在一项按需静脉镇痛的双盲研究中,发现丁丙诺啡的效力约为哌替啶的600倍。两种药物的副作用发生率相似。通过这种给药方法主观评估,两种药物的镇痛质量都很好。如果其低滥用可能性得到证实,丁丙诺啡似乎是一种强效镇痛药,可按需成功静脉给药。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fc3/1596754/e47cb744cc89/brmedj00095-0015-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fc3/1596754/e47cb744cc89/brmedj00095-0015-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fc3/1596754/e47cb744cc89/brmedj00095-0015-a.jpg

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本文引用的文献

1
Self-administration of intravenous analgesics.静脉镇痛药物的自我给药。
Anesthesiology. 1970 Sep;33(3):363-5. doi: 10.1097/00000542-197009000-00023.
2
Factors predisposing to postoperative pain and pulmonary complications. A study of male patients undergoing elective gastric surgery.
Br J Anaesth. 1973 Jan;45(1):21-33. doi: 10.1093/bja/45.1.21.
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The reliability of a linear analogue for evaluating pain.一种用于评估疼痛的线性模拟量表的可靠性。
Anaesthesia. 1976 Nov;31(9):1191-8. doi: 10.1111/j.1365-2044.1976.tb11971.x.
4
Patient-controlled analgesic therapy, Part II: Individual analgesic demand and analgesic plasma concentrations of pethidine in postoperative pain.患者自控镇痛疗法,第二部分:术后疼痛中哌替啶的个体镇痛需求及镇痛血浆浓度
Clin Pharmacokinet. 1982 Mar-Apr;7(2):164-75. doi: 10.2165/00003088-198207020-00005.
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Patient controlled analgesia following myocardial infarction.心肌梗死后的患者自控镇痛
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An open comparison between routine and self-administered postoperative pain relief.术后常规镇痛与患者自控镇痛的开放性对比。
Ann R Coll Surg Engl. 1983 Jan;65(1):18-9.
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Intramuscular on demand analgesia: double blind controlled trial of pethidine, buprenorphine, morphine, and meptazinol.按需肌内注射镇痛:哌替啶、丁丙诺啡、吗啡和美普他酚的双盲对照试验
Br Med J (Clin Res Ed). 1983 Feb 26;286(6366):680-2. doi: 10.1136/bmj.286.6366.680.
8
Nalbuphine versus meperidine for post-operative analgesia: a double-blind comparison using the patient controlled analgesic technique.纳布啡与哌替啶用于术后镇痛:采用患者自控镇痛技术的双盲比较
Can Anaesth Soc J. 1983 Sep;30(5):517-21. doi: 10.1007/BF03007087.
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Strong analgesics in severe pain.用于剧痛的强效镇痛药。
Drugs. 1984 Jul;28(1):79-91. doi: 10.2165/00003495-198428010-00005.
10
Influence of naloxone on the postoperative analgesic and respiratory effects of buprenorphine.纳洛酮对丁丙诺啡术后镇痛及呼吸效应的影响。
Eur J Clin Pharmacol. 1988;34(4):343-52. doi: 10.1007/BF00542434.
4
Influence of anaesthetic technique on postoperative pain. A comparison of anaesthetic supplementation with halothane and with phenoperidine.麻醉技术对术后疼痛的影响。氟烷与哌替啶辅助麻醉的比较。
Br J Anaesth. 1976 Jun;48(6):587-92. doi: 10.1093/bja/48.6.587.
5
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Lancet. 1976 Jan 3;1(7949):17-8. doi: 10.1016/s0140-6736(76)92910-x.