Balzanelli B, de Lorenzi C
Divisione di Chirurgia Maxillofacciale, Ospedale C. Poma, Montova.
Minerva Stomatol. 1996 Jan-Feb;45(1-2):53-9.
A randomized, double-blind parallel group, placebo-controlled study was carried out in order to evaluate the analgesic and antiin-flammatory activity of ketoprofen lysine salt as granular formulation. Sixty patients undergoing extraction of an impacted third molar were treated orally with 80 mg ketoprofen lysine salt sachet or placebo t.i.d. for 3 days. The inflammation related local signs (pain, flare, local heat and wheal) were evaluated by scores at 1th and 3th day of observation; to study the time-course of analgesic activity, pain intensity was evalauted by Visual Analogic-Scale (VAS) by Scott-Huskisson before and 0.30 minutes, 1, 2, 3, 4, 5, 6, 8 hours after the first administration. Ketoprofen lysine salt was significantly superior to placebo in reducing all inflmamtory signs and symptoms starting from the first day of treatment; the analgesic effect was evident already 30 minutes after administration. Investigator's and patient's global evaluations of efficacy resulted favourable for ketoprofen lysine salt in 96.6% and for placebo in 26.7%. The three adverse events reported were limited to gastric pyrosis (ketoprofen lysine salt, two patients; placebo one patient) and posed no problem to patient management. These data demonstrate the pronouced and rapid analgesic and antinflammatory activity of 80 mg ketoprofen lysine salt granular formulation in post-operative pain and inflammation associated with dental surgery.
为了评估酮洛芬赖氨酸盐颗粒制剂的镇痛和抗炎活性,进行了一项随机、双盲平行组、安慰剂对照研究。60例接受阻生第三磨牙拔除术的患者口服80mg酮洛芬赖氨酸盐小袋或安慰剂,每日3次,共3天。在观察的第1天和第3天通过评分评估炎症相关的局部体征(疼痛、红肿、局部发热和风团);为了研究镇痛活性的时间进程,在首次给药前以及给药后0.30分钟、1、2、3、4、5、6、8小时,通过Scott-Huskisson视觉模拟量表(VAS)评估疼痛强度。从治疗第一天起,酮洛芬赖氨酸盐在减轻所有炎症体征和症状方面显著优于安慰剂;给药后30分钟镇痛效果就很明显。研究者和患者对疗效的总体评价显示,酮洛芬赖氨酸盐的有效率为96.6%,安慰剂为26.7%。报告的3例不良事件仅限于胃灼热(酮洛芬赖氨酸盐组2例患者;安慰剂组1例患者),对患者管理没有造成问题。这些数据表明,80mg酮洛芬赖氨酸盐颗粒制剂在与牙科手术相关的术后疼痛和炎症中具有显著且快速的镇痛和抗炎活性。