Pan Afr Med J:在治疗五岁以下儿童的发烧方面,布洛芬与扑热息痛更有效

2021-05-16 MedSci原创 MedSci原创

大多数儿童疾病都伴有发烧症状,常用的退烧药是布洛芬和扑热息痛。大多数关于布洛芬和扑热息痛治疗五岁以下儿童发烧的有效性的研究是在欧洲和北美进行的,在非洲儿童中进行的研究非常少。近日,研究人员在尼日利亚卡

大多数儿童疾病都伴有发烧症状,常用的退烧药是布洛芬和扑热息痛。大多数关于布洛芬和扑热息痛治疗五岁以下儿童发烧的有效性的研究是在欧洲和北美进行的,在非洲儿童中进行的研究非常少。近日,研究人员在尼日利亚卡拉巴尔大学教学医院进行了一项随机、对照的临床试验,旨在评估布洛芬与扑热息痛在尼日利亚治疗儿童发烧的单剂量疗法的有效性和安全性,研究结果已发表于Pan Afr Med J。

研究共招募了140名符合条件的6-59个月大的儿童,耳温为38℃-40℃,随机接受单剂量布洛芬(10mg/kg)和扑热息痛(15mg/kg)。用药后,儿童入院并在医院观察6小时,在此期间每半小时测量体温并监测不良事件。

 

结果显示,与扑热息痛相比,布洛芬的退烧效果更好。给药1.5-2.5小时后,布洛芬组与扑热息痛组的发热儿童比例存在显著差异(P=0.04)。两种药物的不良反应都很温和,且相似,最常见的不良反应是呕吐。

综上所述,该研究结果表明,与扑热息痛相比,布洛芬在治疗五岁以下儿童的发烧方面更为有效。两种药物的不良反应都很轻微。

 

原始出处:

 

Ekaete Olajide Alaje, et al., Ibuprofen versus paracetamol for treating fever in preschool children in Nigeria: a randomized clinical trial of effectiveness and safety. Pan Afr Med J. 2020 Aug 26;36:350. doi: 10.11604/pamj.2020.36.350.21393.

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    2021-05-18 ssnine
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    2021-05-18 智慧医人
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    2021-05-17 14665664m21暂无昵称

    有用

    0

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    2021-05-17 1252be95m13暂无昵称

    很好

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1715983, encodeId=84601e159833b, content=<a href='/topic/show?id=3f5f54610fe' target=_blank style='color:#2F92EE;'>#扑热息痛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=54610, encryptionId=3f5f54610fe, topicName=扑热息痛)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=810132108698, createdName=shenxlcyp, createdTime=Tue Nov 16 15:48:14 CST 2021, time=2021-11-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1376901, encodeId=2ef113e690127, content=<a href='/topic/show?id=ddc13e87938' target=_blank style='color:#2F92EE;'>#发烧#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=37879, encryptionId=ddc13e87938, topicName=发烧)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=25c8396, createdName=ssnine, createdTime=Tue May 18 02:48:14 CST 2021, time=2021-05-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1611049, encodeId=42dc161104976, content=<a href='/topic/show?id=eb6b1145939' target=_blank style='color:#2F92EE;'>#Med#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11459, encryptionId=eb6b1145939, topicName=Med)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=智慧医人, createdTime=Tue May 18 02:48:14 CST 2021, time=2021-05-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=966146, encodeId=3ab99661460f, content=有用, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=caa55135459, createdName=14665664m21暂无昵称, createdTime=Mon May 17 06:50:53 CST 2021, time=2021-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=966140, encodeId=1b4a966140e6, content=很好, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211129/d776fb0de4964edb8c8a81cffc82be49/f82fb8b5fd4b491796821dbf06ac64d5.jpg, createdBy=7fc12544791, createdName=1252be95m13暂无昵称, createdTime=Mon May 17 06:06:30 CST 2021, time=2021-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=966020, encodeId=95c49660203d, content=厉害哦, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210508/e73685a5383442939a2d18dc47c949e5/7aafee808c2a4e8da0560d59a8d0f7f9.jpg, createdBy=486c5461851, createdName=ms7000000237912293, createdTime=Sun May 16 13:46:53 CST 2021, time=2021-05-16, status=1, ipAttribution=)]
    2021-05-16 ms7000000237912293

    厉害哦

    0

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