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[术后疼痛的药物治疗]

[The drug treatment of postoperative pain].

作者信息

Nanni G, Sarro G, Antoci G, Bianchi P, Gossetti F, Catarci M, La Pinta M, Negro P, Nolfe G

机构信息

Divisione di Chirurgia Generale, USSL 72, Ospedale G. Fornaroli, Magenta (MI).

出版信息

Clin Ter. 1993 Jan;142(1 Pt 2):41-6.

PMID:8472520
Abstract

The study, conducted on 40 patients with pain resulting from "minor" general surgery, for the purpose of evaluating the efficacy and tolerability of ST-679 (administered in a single oral dose of 1200 mg in 20 patients) and to compare them with those of paracetamol (administered in a single oral dose of 1000 mg in 20 patients), demonstrated that the new drug was active on all recorded parameters and superior to the reference drug. The evaluation of the evolution of pain, performed using the Scott-Huskisson visual analog scale, evidenced that the maximum analgesic efficacy of ST-679 is reached after 1 hour and 15 minutes from assumption and remains unaltered until the final observation (6 hours). The paracetamol registers maximum analgesic efficacy after 30 minutes, but does not remain constant for the entire observation period. All the other parameters evaluated (variation in pain intensity, peak of analgesic activity and total remission of pain) are significantly favorable to ST-679. The tolerability of ST-679 was very good and better than the reference drug.

摘要

该研究针对40名因“小型”普通外科手术而疼痛的患者开展,旨在评估ST - 679(20名患者单次口服剂量为1200毫克)的疗效和耐受性,并将其与对乙酰氨基酚(20名患者单次口服剂量为1000毫克)进行比较。结果表明,新药在所有记录参数上均有活性,且优于参比药物。使用斯科特 - 赫斯基森视觉模拟量表对疼痛演变进行评估,结果显示,ST - 679在服药后1小时15分钟达到最大镇痛效果,并一直保持至最终观察期(6小时)。对乙酰氨基酚在30分钟后达到最大镇痛效果,但在整个观察期内并非保持恒定。评估的所有其他参数(疼痛强度变化、镇痛活性峰值和疼痛完全缓解)均明显有利于ST - 679。ST - 679的耐受性非常好,且优于参比药物。

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