Cooper S A, Breen J F, Giuliani R L
J Oral Surg. 1981 Jan;39(1):21-5.
This double-blind, parallel-design study used postsurgical dental outpatients as subjects. The patients self-administered a single dose of one of the study medications when they estimated their pain to be of moderate or severe intensity. The study medications were 200 mg of indoprofen, 650 mg of acetaminophen, 650 of acetaminophen with 60 mg of codeine, 650 mg of acetaminophen with 100 mg of d-propoxyphene N, and a placebo. On a report form, data were recorded on baseline pain and then hourly for four hours, intensity of pain, relief of pain, and side effects were reported. Also, an overall evaluation was recorded. Data were analyzed with the use of analysis of variance and Duncan's Multiple Range test. All four active treatments were statistically superior to placebo for sum pain intensity difference, total relief of pain, and overall evaluation parameters. Both opioid-analgesic combinations showed small additive effects over acetaminophen alone, and indoprofen was superior to both combination treatments and acetaminophen alone.
这项双盲、平行设计的研究将外科手术后的牙科门诊患者作为研究对象。当患者估计自己的疼痛为中度或重度时,自行服用一剂研究药物。研究药物包括200毫克布洛芬、650毫克对乙酰氨基酚、含60毫克可待因的650毫克对乙酰氨基酚、含100毫克右丙氧芬N的650毫克对乙酰氨基酚以及一种安慰剂。在一份报告表上,记录基线疼痛数据,然后每小时记录一次,持续四小时,报告疼痛强度、疼痛缓解情况和副作用。此外,还记录了总体评价。使用方差分析和邓肯多重极差检验对数据进行分析。在疼痛强度总和差异、疼痛总缓解情况和总体评价参数方面,所有四种活性治疗在统计学上均优于安慰剂。两种阿片类镇痛药组合比对乙酰氨基酚单独使用显示出小的相加效应,布洛芬优于两种组合治疗以及对乙酰氨基酚单独使用。