特异性COX-2抑制药的临床应用及其前景

被引:1
作者
刘肖平
机构
[1] 中国人民解放军第四五五医院麻醉科上海市
关键词
环氧化酶-2抑制药; 骨性关节炎; 类风湿性关节炎; 围手术期; 镇痛;
D O I
暂无
中图分类号
R96 [药理学];
学科分类号
100602 ; 100706 ;
摘要
特异性环氧化酶-2(COX-2)抑制药为一组新的非甾体类抗炎药(NSAIDs),此类药能阻止前列腺素合成,但不阻止由COX-1激活的前列腺素类物质的合成。COX-2抑制药能迅速提供镇痛,对骨关节炎和类风湿性关节炎的抗炎镇痛效应相当于非特异性NSAIDs的标准剂量,而其胃肠道副作用较低,其他不良反应与非特异性NSAIDs相似。
引用
收藏
页码:42 / 49
页数:8
相关论文
共 13 条
[1]   非甾体抗炎药与术后多模式互补镇痛 [J].
刘肖平 .
国外医学麻醉学与复苏分册., 1996, (04) :193-195
[2]  
现代疼痛学[M]. 河北科学技术出版社 , 张立生,刘小立主编, 1999
[3]   Non-steroidal anti-inflammatory drug (NSAID) use and Alzheimer disease in community-dwelling elderly patients [J].
Landi, F ;
Cesari, M ;
Onder, G ;
Russo, A ;
Torre, S ;
Bernabei, R .
AMERICAN JOURNAL OF GERIATRIC PSYCHIATRY, 2003, 11 (02) :179-185
[4]  
Comparison of thromboembolic events in patients treated with Celecoxib , a Cyclooxygenase-2 specific inhibitor, versus Ibuprofen or Diclofenac[J] . William B White,Gerald Faich,Andrew Whelton,Clement Maurath,Nancy J Ridge,Kenneth M Verburg,G.Steven Geis,James B Lefkowith.The American Journal of Cardiology . 2002 (4)
[5]   The efficacy of premedication with celecoxib and acetaminophen in preventing pain after otolaryngologic surgery [J].
Issioui, T ;
Klein, KW ;
White, PF ;
Watcha, MF ;
Coloma, M ;
Skrivanek, GD ;
Jones, SB ;
Thornton, KC ;
Marple, BF .
ANESTHESIA AND ANALGESIA, 2002, 94 (05) :1188-1193
[6]   The role of non-opioid analgesic techniques in the management of pain after ambulatory surgery [J].
White, PF .
ANESTHESIA AND ANALGESIA, 2002, 94 (03) :577-585
[7]   The preemptive analgesic effect of rofecoxib after ambulatory arthroscopic knee surgery [J].
Reuben, SS ;
Bhopatkar, S ;
Maciolek, H ;
Joshi, W ;
Sklar, J .
ANESTHESIA AND ANALGESIA, 2002, 94 (01) :55-59
[8]   The injectable cyclooxygenase-2-specific inhibitor parecoxib sodium has analgesic efficacy when administered preoperatively [J].
Desjardins, PJ ;
Grossman, EH ;
Kuss, ME ;
Talwalker, S ;
Dhadda, S ;
Baum, D ;
Hubbard, RC .
ANESTHESIA AND ANALGESIA, 2001, 93 (03) :721-727
[9]   Postoperative analgesic effects of celecoxib or rofecoxib after spinal fusion surgery [J].
Reuben, SS ;
Connelly, NR .
ANESTHESIA AND ANALGESIA, 2000, 91 (05) :1221-1225
[10]  
Celecoxib versus diclofenac in long-term management of rheumatoid arthritis: randomised double-blind comparison[J] . Paul Emery,Henning Zeidler,Tore K Kvien,Mario Guslandi,Raphael Naudin,Helen Stead,Kenneth M Verburg,Peter C Isakson,Richard C Hubbard,G Steven Geis.The Lancet . 1999 (9196)