Dionne R A, Snyder J, Hargreaves K M
Clinical Pharmacology Unit, National Institute of Dental Research, Bethesda, MD.
J Oral Maxillofac Surg. 1994 Sep;52(9):919-24; discussion 25-6. doi: 10.1016/s0278-2391(10)80068-0.
The analgesic efficacy of 50 and 100 mg flurbiprofen was compared with acetaminophen 650 mg, acetaminophen 650 mg plus codeine 60 mg, and placebo.
Subjects undergoing the surgical removal of impacted third molars were randomly administered one of the five treatments after the onset of moderate to severe postoperative pain. Pain intensity, pain relief, and side effects were evaluated for 6 hours after drug administration.
Both doses of flurbiprofen resulted in significant analgesia in comparison with placebo, acetaminophen, and acetaminophen plus codeine as measured by pain intensity difference, pain relief, and global evaluation. The greatest incidence of side effects occurred in the group receiving acetaminophen plus codeine, and the fewest side effects were reported by subjects administered flurbiprofen.
The results of this study indicate that flurbiprofen is more effective and causes fewer effects than acetaminophen and codeine when used for post-operative dental pain, in ambulatory patients.
比较50毫克和100毫克氟比洛芬与650毫克对乙酰氨基酚、650毫克对乙酰氨基酚加60毫克可待因及安慰剂的镇痛效果。
接受阻生第三磨牙手术拔除的受试者在术后出现中度至重度疼痛后,随机接受五种治疗中的一种。给药后6小时评估疼痛强度、疼痛缓解情况及副作用。
通过疼痛强度差异、疼痛缓解情况及整体评估测量,与安慰剂、对乙酰氨基酚及对乙酰氨基酚加可待因相比,两种剂量的氟比洛芬均产生显著镇痛效果。接受对乙酰氨基酚加可待因的组副作用发生率最高,服用氟比洛芬的受试者报告的副作用最少。
本研究结果表明,对于门诊患者术后牙齿疼痛,氟比洛芬比 对乙酰氨基酚和可待因更有效且副作用更少。