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口服退热疗法。

Oral antipyretic therapy.

作者信息

Similä S, Kouvalainen K, Keinänen S

出版信息

Scand J Rheumatol. 1976;5(2):81-3. doi: 10.3109/03009747609099895.

DOI:10.3109/03009747609099895
PMID:935827
Abstract

The capacity of ibuprofen to reduce fever in children was compared with that of aspirin, paracetamol, aminophenazone and indomethacin. The series of cases studied consisted of 79 patients in the age range 3 months to 13 years and with a rectal temperature above 38.5 degrees C. Temperatures were recorded at 15 and 30 minutes, and 1,2,4 and 6 hours after challenge with the drug. The antipyretic effect of ibuprofen with a dose of 6 mg/kg was optimal and twice that of aspirin or paracetamol and similar to that of aminophenazone. The antipyretic effect of indomethacin was about 12 times that of ibuprofen. This ratio is almost the same as what is said to occur between the antirheumatic effects between these drugs. Ibuprofen with a dose of 6 mg/kg would thus appear to be a useful antipyretic drug when both antipyretic and antirheumatic effects are needed.

摘要

将布洛芬与阿司匹林、对乙酰氨基酚、氨基苯乙酮和吲哚美辛降低儿童体温的能力进行了比较。所研究的病例系列包括79名年龄在3个月至13岁之间、直肠温度高于38.5摄氏度的患者。在用药激发后15分钟、30分钟以及1、2、4和6小时记录体温。剂量为6mg/kg的布洛芬的退热效果最佳,是阿司匹林或对乙酰氨基酚的两倍,与氨基苯乙酮的效果相似。吲哚美辛的退热效果约为布洛芬的12倍。该比例与这些药物之间抗风湿作用的比例几乎相同。因此,当需要同时具备退热和抗风湿作用时,剂量为6mg/kg的布洛芬似乎是一种有用的退热药。

相似文献

1
Oral antipyretic therapy.口服退热疗法。
Scand J Rheumatol. 1976;5(2):81-3. doi: 10.3109/03009747609099895.
2
Oral antipyretic therapy. Evaluation of mefenamic acid (short communication).
Arzneimittelforschung. 1977;27(3):687-8.
3
Comparative evaluation of the antipyretic efficacy of ibuprofen and paracetamol.
Indian Pediatr. 1990 Aug;27(8):803-6.
4
Oral antipyretic therapy: evaluation of benorylate, an ester of acetylsalicylic acid and paracetamol.
Eur J Pediatr. 1975 Dec 9;121(1):15-20. doi: 10.1007/BF00464391.
5
Measurement of antipyretic activity of ibuprofen and paracetamol in children.布洛芬和对乙酰氨基酚在儿童中的退热活性测定。
J Clin Pharmacol. 1980 Nov-Dec;20(11):672-5. doi: 10.1002/j.1552-4604.1980.tb01685.x.
6
Comparative evaluation of antipyretic activity of ibuprofen and aspirin in children with pyrexia of varied aetiology.布洛芬和阿司匹林对不同病因发热儿童退热活性的比较评价。
J Int Med Res. 1984;12(5):292-7. doi: 10.1177/030006058401200505.
7
[Antipyretic effectiveness of ibuprofen and paracetamol].[布洛芬与对乙酰氨基酚的退热效果]
An Pediatr (Barc). 2005 Feb;62(2):117-22. doi: 10.1157/13071307.
8
Single-dose, placebo-controlled comparative study of ibuprofen and acetaminophen antipyresis in children.布洛芬与对乙酰氨基酚对儿童退热作用的单剂量、安慰剂对照比较研究。
J Pediatr. 1991 Nov;119(5):803-11. doi: 10.1016/s0022-3476(05)80307-5.
9
Combined and alternating paracetamol and ibuprofen therapy for febrile children.对发热儿童采用对乙酰氨基酚和布洛芬联合及交替治疗。
Evid Based Child Health. 2014 Sep;9(3):675-729. doi: 10.1002/ebch.1978.
10
Equivalent antipyretic activity of ibuprofen and paracetamol in febrile children.布洛芬和对乙酰氨基酚在发热儿童中的等效退热活性。
J Pediatr. 1997 Nov;131(5):683-7. doi: 10.1016/s0022-3476(97)70093-3.

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2
Efficacy and Safety of Ibuprofen in Infants Aged Between 3 and 6 Months.布洛芬在3至6个月婴儿中的疗效与安全性
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Acetaminophen and ibuprofen in the management of fever and mild to moderate pain in children.
对乙酰氨基酚和布洛芬用于儿童发热及轻至中度疼痛的治疗
Paediatr Child Health. 1998 Jul;3(4):246-50. doi: 10.1093/pch/3.4.246.
4
Paracetamol for treating fever in children.对乙酰氨基酚用于治疗儿童发热。
Cochrane Database Syst Rev. 2002;2002(2):CD003676. doi: 10.1002/14651858.CD003676.
5
Antipyretics in children.儿童退烧药
Indian J Pediatr. 2002 Jan;69(1):69-74. doi: 10.1007/BF02723780.
6
Comparative efficacy and tolerance of ibuprofen syrup and acetaminophen syrup in children with pyrexia associated with infectious diseases and treated with antibiotics.
Eur J Clin Pharmacol. 1994;46(3):197-201. doi: 10.1007/BF00192548.
7
Is prostaglandin E2 involved in the pathogenesis of fever? Effects of interleukin-1 on the release of prostaglandins.前列腺素E2是否参与发热的发病机制?白细胞介素-1对前列腺素释放的影响。
Yale J Biol Med. 1986 Mar-Apr;59(2):151-8.
8
Pharmacokinetics of common analgesics, anti-inflammatories and antipyretics in children.儿童常用镇痛药、抗炎药和解热药的药代动力学
Clin Pharmacokinet. 1989;17 Suppl 1:116-37. doi: 10.2165/00003088-198900171-00009.
9
A dose ranging study of ibuprofen suspension as an antipyretic.布洛芬混悬液作为退烧药的剂量范围研究。
Arch Dis Child. 1991 Sep;66(9):1037-41; discussion 1041-2. doi: 10.1136/adc.66.9.1037.
10
Oral antipyretic therapy: evaluation of the N-aryl-anthranilic acid derivatives mefenamic acid, tolfenamic acid and flufenamic acid.口服退热疗法:N-芳基邻氨基苯甲酸衍生物甲芬那酸、托芬那酸和氟芬那酸的评估
Eur J Clin Pharmacol. 1978 Jul 30;13(5):331-44. doi: 10.1007/BF00644604.