氯芬待因片镇痛效果临床评价

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氯芬待因片(每片含双氯芬酸25mg和磷酸可待因15mg)与氨酚待因2号片(每片含扑热息痛300mg和磷酸可待因15mg)、安慰剂进行双盲对照试验,旨在考察其对手术后疼痛、癌痛、神经痛等中度疼痛患者的临床镇痛效果和不良反应。氯芬待因组303例,氨酚待因2号片组31例,安慰剂组69例。采用疼痛强度差、总疼痛强度差、疼痛缓解度、中度以上疼痛缓解率等镇痛效果评价指标。结果表明:(1)氯芬待因镇痛效果明显优于安慰剂(P<0.001),某些指标方面亦优于氨酚待因2号片(P<0.05);(2)氯芬待因不良反应轻微,胃不适、恶心、呕吐在10%以下,头晕、思睡在5%左右。多在1d内消失。 A double-blind, placebo-controlled placebo was used in the double-blind controlled trial of chlorpheniramine tablets (each containing diclofenac 25 mg and codeine phosphate 15 mg) and paracetamol 2 tablets (each containing acetaminophen 300 mg and phosphate 15 mg) Investigate its clinical analgesic effect and adverse reactions in patients with moderate pain such as postoperative pain, cancer pain, neuralgia. 303 cases in clofenhydrin group, 31 cases in paracetamol and 2 cases in placebo group and 69 cases in placebo group. With pain intensity difference, the total pain intensity difference, pain relief, moderate pain relief rate and other analgesic effect evaluation index. The results showed that: (1) Chlorpheniramine was superior to placebo for the analgesic effect (P <0.001), and some indicators were superior to paracetamol 2 (P <0.05); (2) Chlorpheniramine due to minor adverse reactions, stomach discomfort, nausea, vomiting below 10%, dizziness, sleepiness at about 5%. More disappear within 1d.
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