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[舌下含服丁丙诺啡片:癌症疼痛长期治疗的初步临床经验]

[Sublingual buprenorphine tablets: initial clinical experiences in long-term therapy of cancer pain].

作者信息

Zenz M, Piepenbrock S, Tryba M, Klauke W, Everlien M

出版信息

Fortschr Med. 1983 Feb 3;101(5):191-4.

PMID:6403440
Abstract

Buprenorphine sublingual tablets (0.2 mg) were investigated in therapy of cancer pain. In 67 patients there was a good analgetic effect in 60%, even in those cases treated with other opiates before. The induction time was quite long (60 min.) but is no problem in chronic administration. Effective pain relief was obtained even in final stages of cancer. The mean daily dose of buprenorphine had been 1.2-1.7 mg, the mean duration of analgesia being 6-8 hours with a single dose of 0.2-1.0 mg buprenorphine. Typical opiate-side-effects were registered and well tolerated after some days' treatment. There was no respiratory depression. Buprenorphine sublingual tablets are certainly a good alternative in orally available opioids.

摘要

研究了丁丙诺啡舌下片(0.2毫克)治疗癌痛的效果。67例患者中,60%有良好的镇痛效果,即使是那些之前接受过其他阿片类药物治疗的患者。诱导时间相当长(60分钟),但在长期给药中不是问题。即使在癌症晚期也能有效缓解疼痛。丁丙诺啡的平均日剂量为1.2 - 1.7毫克,单次服用0.2 - 1.0毫克丁丙诺啡时,平均镇痛持续时间为6 - 8小时。治疗几天后出现了典型的阿片类药物副作用,但耐受性良好。未出现呼吸抑制。丁丙诺啡舌下片无疑是口服阿片类药物的一个很好的替代品。

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