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舒洛芬的局部和全身耐受性。健康志愿者静脉注射和输注的经验(首次通讯)。

Local and systemic tolerability of suprofen. Experience with intravenous administration and infusion in healthy volunteers (1st comm.).

作者信息

Michos N, Zulliger H W, Fenzl E

出版信息

Arzneimittelforschung. 1985;35(4):745-8.

PMID:4015741
Abstract

Local and systemic tolerability of alpha-methyl-4-(2-thienylcarbonyl)-phenyl acetic acid (suprofen, Suprol 200 mg/ml intravenous injection and suprofen 200 mg/ml infusion were in the present single-blind crossover study assessed and compared with those of placebo i.v. 12 volunteers each were in random fashion assigned to one of the three treatment groups; for a period of 7 days the subjects received daily 2 intravenous injections or infusions of suprofen or placebo, respectively. Investigator and patients appreciation of local tolerability revealed that no pain or discomfort occurred in 98% of the subjects on suprofen and in 100% of those on placebo. The incidence of limited, moderate or mild, adverse reactions was in the suprofen group higher than in the placebo group. The laboratory tests for the treatment groups indicated no negative effects on either the hematopoietic organs or the liver function; no abnormal changes in ECG and cardiovascular parameters were observed during the treatment period. Tests of the renal parameters, i.e., creatinine clearance, creatinine, and urea (BUN), revealed negative shifts in the first two parameters, whereas BUN remained uninfluenced. On the basis of these results it can be stated that 200 mg/ml of suprofen, given either as intravenous injection or as infusion, were both locally and systemically well tolerated even on administration b.i.d. The more or less unfavorable shifts in the renal parameters, which occurred with placebo as well as with suprofen, require further investigation.

摘要

在本单盲交叉研究中,对α-甲基-4-(2-噻吩羰基)-苯乙酸(舒洛芬,舒洛芬200mg/ml静脉注射剂和舒洛芬200mg/ml输注剂)的局部和全身耐受性进行了评估,并与安慰剂静脉注射剂进行了比较。12名志愿者被随机分配到三个治疗组中的一组;在7天的时间里,受试者每天分别接受2次舒洛芬或安慰剂的静脉注射或输注。研究者和患者对局部耐受性的评价显示,98%接受舒洛芬治疗的受试者和100%接受安慰剂治疗的受试者均未出现疼痛或不适。舒洛芬组中有限的、中度或轻度不良反应的发生率高于安慰剂组。治疗组的实验室检查表明,对造血器官或肝功能均无负面影响;治疗期间未观察到心电图和心血管参数的异常变化。对肾脏参数,即肌酐清除率、肌酐和尿素(血尿素氮)的检测显示,前两个参数出现了负向变化,而血尿素氮未受影响。基于这些结果,可以说200mg/ml的舒洛芬,无论是静脉注射还是输注,即使每日给药两次,在局部和全身都具有良好的耐受性。安慰剂和舒洛芬均出现的肾脏参数或多或少的不利变化需要进一步研究。

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