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丁丙诺啡与吗啡对清醒人体镇痛作用的比较(作者译)

[Comparison between the analgesic effects of buprenorphine and morphine in conscious man (author's transl)].

作者信息

Cathelin M, Vignes R, Viars P

出版信息

Anesth Analg (Paris). 1980;37(5-6):275-82.

PMID:7457947
Abstract

Morphine chlorhydrate and buprenorphine chlorhydrate are given intramuscularly at increasing doses to patients suffering from intense pain in the facial or trigeminal nerves territory. No other drugs are used. The diverses groups of ten patients received respectively: --morphine: 0.100, 0.150, 0.200 mg/kg; --buprenorphine: 0.0015, 0.003, 0.006 mg/kg. On the whole, the analgesia is induced after a short time and is more durable, more intense as the dose is increased. Yet, concerning buprenorphine, the analgesia is not more intense with the 0.006 mg/kg dose, than with the 0.003 mg/kg dose. This phenomenon, if confirmed, would be an important limitation for the clinical use of this drug. For equianalgesic doses buprenorphine and morphine give an analgesia similar in time of initiation and in duration.

摘要

对患有面部或三叉神经区域剧痛的患者,以递增剂量肌肉注射盐酸吗啡和盐酸丁丙诺啡。不使用其他药物。十名患者的不同组分别接受:——吗啡:0.100、0.150、0.200毫克/千克;——丁丙诺啡:0.0015、0.003、0.006毫克/千克。总体而言,镇痛作用在短时间内诱导产生,且随着剂量增加更持久、更强烈。然而,关于丁丙诺啡,0.006毫克/千克剂量的镇痛效果并不比0.003毫克/千克剂量更强。如果这一现象得到证实,将成为该药物临床应用的一个重要限制。对于等效镇痛剂量,丁丙诺啡和吗啡在起效时间和持续时间方面产生的镇痛效果相似。

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