期刊文献+
共找到12篇文章
< 1 >
每页显示 20 50 100
Selective COX-2 inhibitor,NS-398,suppresses cellular proliferation in human hepatocellular carcinoma cell lines via cell cycle arrest 被引量:27
1
作者 Ji Yeon Baek Wonhee Hur +2 位作者 Jin Sang Wang Si Hyun Bae Seung Kew Yoon 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第8期1175-1181,共7页
AIM: To investigate the growth inhibitory mechanism of NS-398, a selective cyclooxygenase-2 (COX-2) inhibitor, in two hepatocellular carcinoma (HCC) cell lines (HepG2 and Huh7). METHODS: HepG2 and Huh7 cells were trea... AIM: To investigate the growth inhibitory mechanism of NS-398, a selective cyclooxygenase-2 (COX-2) inhibitor, in two hepatocellular carcinoma (HCC) cell lines (HepG2 and Huh7). METHODS: HepG2 and Huh7 cells were treated with NS-398. Its effects on cell viability, cell proliferation, cell cycles, and gene expression were respectively evaluated by water-soluble tetrazolium salt (WST-1) assay, 4’-6-diamidino-2-phenylindole (DAPI) staining, flow cytometer analysis, and Western blotting, with dimethyl sulfoxide (DMSO) as positive control. RESULTS: NS-398 showed dose- and time-dependent growth-inhibitory effects on the two cell lines. Proliferating cell nuclear antigen (PCNA) expressions in HepG2 and Huh7 cells, particularly in Huh7 cells were inhibited in a time- and dose-independent manner. NS-398 caused cell cycle arrest in the G1 phase with cell accumulation in the sub-G1 phase in HepG2 and Huh7 cell lines. No evidence of apoptosis was observed in two cell lines. CONCLUSION: NS-398 reduces cell proliferation by inducing cell cycle arrest in HepG2 and Huh7 cell lines, and COX-2 inhibitors may have potent chemoprevention effects on human hepatocellular carcinoma. 展开更多
关键词 Selective cyclooxygenase 2 inhibitor Cell growth Cell cycle Hepatocellular carcinoma cells
下载PDF
Tolerance of neurite outgrowth to Rho kinase inhibitors decreased by cyclooxygenase-2 inhibitor 被引量:1
2
作者 Weigang Duan Ling Que +3 位作者 Xiaoman Lv Qifeng Li Hua Yin Luyong Zhang 《Neural Regeneration Research》 SCIE CAS CSCD 2012年第34期2705-2712,共8页
In this study, PC12 Adh cells and Neuro-2a cells were treated with Rho-associated kinase inhibitors (Y27632 and Fasudil), a cyclooxygenase-1 selective inhibitor (SC560), and a cyclooxygenase-2 inhibitor (NS398).... In this study, PC12 Adh cells and Neuro-2a cells were treated with Rho-associated kinase inhibitors (Y27632 and Fasudil), a cyclooxygenase-1 selective inhibitor (SC560), and a cyclooxygenase-2 inhibitor (NS398). We found that these cells became tolerant to Rho-associated kinase inhibitors, as neurite outgrowth induced by these inhibitors diminished following more than 3 days of exposure in either cell line. The proteins cyclooxygenase-2 and cytosolic prostaglandin E synthetase were upregulated at day 3. NS398 decreased the tolerance to neurite outgrowth induction in both cell lines, whereas SC560 had almost no effect. These findings indicate that cells become tolerant to neurite outgrowth induced by Rho-associated kinase inhibitors, this is at least partly associated with upregulation of proteins involved in the cyclooxygenase-2 pathway, and cyclooxygenases-2 inhibition prevents this tolerance. 展开更多
关键词 Rho-associated kinase inhibitors Y27632 FASUDIL NEURITE cyclooxygenase 2 inhibitors drugtolerance
下载PDF
缺血心肌中环氧化酶-2的表达及其抑制剂的作用 被引量:9
3
作者 尹明 沈洪 +5 位作者 黎檀实 李银平 刘刚 张维 冯丽洁 宋扬丽 《中国危重病急救医学》 CAS CSCD 2002年第5期294-296,共3页
目的 :观察缺血心肌中环氧化酶 2 (COX 2 )的表达及其抑制剂对前列腺素族代谢产物的影响 ,以了解 COX 2在缺血性心脏病中的作用。方法 :新西兰兔 2 1只 ,随机分为 3组 :正常对照组 (A组 ,n=7) ,心肌缺血组 (B组 ,n=7) ,心肌缺血加罗非... 目的 :观察缺血心肌中环氧化酶 2 (COX 2 )的表达及其抑制剂对前列腺素族代谢产物的影响 ,以了解 COX 2在缺血性心脏病中的作用。方法 :新西兰兔 2 1只 ,随机分为 3组 :正常对照组 (A组 ,n=7) ,心肌缺血组 (B组 ,n=7) ,心肌缺血加罗非昔布组 (C组 ,n=7)。给药 7日后 ,结扎冠状动脉左前降支制作心肌缺血模型。留取血液标本测定血栓素 B2 (TXB2 )和 6酮前列腺素 F1α(6 keto PGF1α) ;取缺血区和右心室非缺血区心肌组织测定 TXB2 和 6 keto PGF1α。对心肌组织行 HE及 COX 2单克隆抗体免疫组织化学染色进行病理观察。结果 :缺血心肌中 COX 2呈高度表达 ;心肌和血清内 TXB2 、6 keto PGF1α水平均较对照组增高 ,而应用罗非昔布干预后 ,则可降低其升高水平。结论 :缺血心肌细胞内 COX 2被诱导表达 ,引起心肌组织中TXB2 和 6 keto PGF1α浓度明显升高 ,COX 2抑制剂可抑制其升高程度。 展开更多
关键词 心肌缺血 环氧化酶-2 环氧化酶-2抑制剂 血栓素 前列环素
下载PDF
选择性环氧化酶2抑制剂塞来昔布对人前列腺癌PC-3细胞增殖与凋亡的影响 被引量:7
4
作者 许松 周文泉 +2 位作者 张征宇 葛京平 高建平 《中华男科学杂志》 CAS CSCD 2008年第6期489-493,共5页
目的:通过观察选择性环氧化酶2抑制剂塞来昔布对人前列腺癌PC-3细胞株增殖与凋亡的影响,初步探讨塞来昔布对前列腺癌的体外抗肿瘤效应。方法:采用四甲基偶氮唑蓝(MTT)比色法、划痕损伤实验、细胞迁移实验观察塞来昔布对人前列腺癌PC-3... 目的:通过观察选择性环氧化酶2抑制剂塞来昔布对人前列腺癌PC-3细胞株增殖与凋亡的影响,初步探讨塞来昔布对前列腺癌的体外抗肿瘤效应。方法:采用四甲基偶氮唑蓝(MTT)比色法、划痕损伤实验、细胞迁移实验观察塞来昔布对人前列腺癌PC-3细胞株增殖的抑制效应,利用Annexin V/FITC染色和流式细胞术检测塞来昔布诱导肿瘤细胞凋亡的作用。结果:MTT比色法结果显示塞来昔布随着作用浓度和时间增加,对PC-3的抑制率不断增加且表现出良好的量效关系和时效关系(P<0.05);划痕损伤实验显示100μm/L塞来昔布随着作用时间增加PC-3细胞的迁移距离均低于对照组(P<0.05);细胞迁移实验显示100μm/L塞来昔布作用于PC-3时PC-3细胞侵入下室的细胞数比对照组有明显减少(P<0.05);AnnexinV-FITC/PI染色检测实验表明塞来昔布可以诱导PC-3细胞凋亡(P<0.05),细胞周期实验结果表明,100μm塞来昔布作用于PC-3细胞后G0/G1期细胞比例明显增加,S期细胞比例比对照组明显减少(P<0.05)。结论:本研究表明塞来昔布对人前列腺癌PC-3细胞株增殖的抑制效应具有剂量依赖性,并可以诱导细胞凋亡,是治疗前列腺癌的一种可供研究的新途径。 展开更多
关键词 环氧化酶2抑制剂 凋亡 前列腺癌
下载PDF
阿司匹林赖氨酸盐在体外对人乳腺癌细胞的抑制作用及其机制 被引量:1
5
作者 张月林 叶云 +2 位作者 李筱俊 李子广 祝晓光 《肿瘤》 CAS CSCD 北大核心 2008年第7期563-566,共4页
目的:探讨非选择性环氧合酶-2(cyclooxygenese-2,COX-2)抑制剂阿司匹林赖氨酸盐对乳腺癌MDA-MB-231细胞株COX-2、基质金属蛋白酶-9(matrix metalloproteinaseses-9,MMP-9)蛋白表达的影响。方法:不同浓度的阿司匹林赖氨酸盐作用于MDA-MB-... 目的:探讨非选择性环氧合酶-2(cyclooxygenese-2,COX-2)抑制剂阿司匹林赖氨酸盐对乳腺癌MDA-MB-231细胞株COX-2、基质金属蛋白酶-9(matrix metalloproteinaseses-9,MMP-9)蛋白表达的影响。方法:不同浓度的阿司匹林赖氨酸盐作用于MDA-MB-231细胞24h后,HE染色观察细胞形态学的变化;采用MTT法检测阿司匹林赖氨酸盐对MDA-MB-231乳腺癌细胞增殖的抑制作用;应用Western印迹法分别检测阿司匹林赖氨酸盐对人乳腺癌MDA-MB-231细胞株COX-2、MMP-9蛋白表达的影响。结果:光学显微镜下阿司匹林赖氨酸盐处理组的细胞密度减小,细胞变圆,胞核染色变浅。阿司匹林赖氨酸盐对MDA-MB-231乳腺癌细胞的增殖有明显抑制作用(P<0.01)。与对照组相比,阿司匹林赖氨酸盐可显著抑制MDA-MB-231乳腺癌细胞COX-2、MMP-9蛋白的表达,并呈剂量-依赖效应(P<0.05)。结论:阿司匹林赖氨酸盐可抑制MDA-MB-231乳腺癌细胞COX-2、MMP-9蛋白的表达。 展开更多
关键词 乳腺肿瘤 环氧合酶2抑制剂 基质金属蛋白酶类 基因表达
下载PDF
Calpain抑制剂ALLN对酵母多糖足底炎性疼痛模型大鼠的镇痛作用及其对脊髓背角环氧化酶-2表达水平的影响 被引量:1
6
作者 王静捷 陈广俊 +3 位作者 陈雯 杜金 罗爱伦 黄宇光 《中国医学科学院学报》 CAS CSCD 北大核心 2012年第1期25-31,共7页
目的评价calpain抑制剂ALLN对酵母多糖足底炎性疼痛模型大鼠的镇痛作用及其对脊髓背角环氧化酶-2(COX-2)表达水平的影响,探讨calpain在炎性疼痛中的作用机制。方法 SD大鼠48只,随机分为对照组、假手术组和酵母多糖组,按Meller方法制作... 目的评价calpain抑制剂ALLN对酵母多糖足底炎性疼痛模型大鼠的镇痛作用及其对脊髓背角环氧化酶-2(COX-2)表达水平的影响,探讨calpain在炎性疼痛中的作用机制。方法 SD大鼠48只,随机分为对照组、假手术组和酵母多糖组,按Meller方法制作酵母多糖足底炎性疼痛模型。分别于制模前和制模后0.5、1、2、4、8、24和48 h测定各组大鼠左侧后足机械刺激缩足阈值(MWT)和左侧后足最大厚度,并在指定时间点处死取制模侧腰段脊髓背角,采用Western印迹方法测定calpain的活性。另取SD大鼠64只,随机分为假手术组、二甲基亚砜(DMSO)溶剂对照组和ALLN治疗组。分别于制模前和制模后0.5、1、2、4、8、24和48 h测定各组大鼠左侧后足MWT和左侧后足最大厚度,并在指定时间点处死取制模侧腰段脊髓背角,采用Western印迹方法测定COX-2的含量变化。结果与对照组和假手术组相比,酵母多糖组大鼠制模侧后足MWT显著降低(P<0.05),最大厚度显著增加(P<0.01),制模后4、24和48 h calpain活化水平明显增强(P<0.01)。与DMSO溶剂对照组大鼠比较,ALLN治疗组大鼠制模后相应时间点MWT显著增高(P<0.05),左足最大厚度显著减小(P<0.05),脊髓背角COX-2表达水平明显下降(P<0.01)。结论酵母多糖足底炎性疼痛模型大鼠脊髓背角calpain活化增强。Calpain抑制剂ALLN可以显著缓解酵母多糖足底炎性疼痛模型大鼠的炎性疼痛和炎性水肿,并显著降低模型大鼠脊髓背角COX-2的表达水平,提示calpain活化后可能通过促进脊髓水平COX-2表达增加,参与炎性疼痛的形成。 展开更多
关键词 酵母多糖 炎性疼痛 环氧化酶-2 脊髓背角 钙离子依赖半胱氨酸蛋白酶 抑制剂
下载PDF
基质金属蛋白酶及其组织特异性抑制物与环氧合酶-2在骨性关节炎中的表达及临床生物学意义 被引量:3
7
作者 闫堃 程玮 +1 位作者 纪宗正 王民 《中国骨与关节损伤杂志》 2008年第9期737-740,共4页
目的观察环氧酶-2(COX-2)、基质金属蛋白酶-3(MMP-3)和组织特异性抑制物-1(TIMP-1)在骨性关节炎(OA)中的表达,探讨其与OA的发生、发展的关系。方法采用苏木精-伊红染色及SABC法,检测OA及正常对照关节软骨组织切片中COX-2、MMP-3和TIMP-... 目的观察环氧酶-2(COX-2)、基质金属蛋白酶-3(MMP-3)和组织特异性抑制物-1(TIMP-1)在骨性关节炎(OA)中的表达,探讨其与OA的发生、发展的关系。方法采用苏木精-伊红染色及SABC法,检测OA及正常对照关节软骨组织切片中COX-2、MMP-3和TIMP-1蛋白的表达情况,应用统计学方法对其在OA的发生、发展中与OA病理分级、临床影像学分级的相关性进行非参数分析。并运用Spearman相关分析检验对OA组中MMP-3蛋白与COX-2蛋白的表达进行相关性分析。结果OA中MMP-3、TIMP-1、COX-2蛋白的阳性表达率分别为78.0,68.7和86.7,与它们在正常软骨组织中的比较有显着性差异(P<0.05),MMP-3、COX-2与关节损伤程度成正相关(P<0.05),TIMP-1与关节损伤程度成负相关(<0.05)。结论OA中MMP-3/TIMP-1的变化与COX-2变化无相关性。 展开更多
关键词 骨性关节炎 环氧合酶-2 基质金属蛋白酶-3 组织特异性抑制物-1 免疫组化SABC法 细胞外基质
下载PDF
Effect of Nimesulide on proliferation and apoptosis of human hepatoma SMMC-7721 cells 被引量:51
8
作者 Geng Tian Jie-Ping Yu He-Sheng Luo Bao-Ping Yu Hui Yue Jian-Ying Li Oiao Mei,Gastroenterology department,Renmin hospital of Wuhan university,Wuhan 430060,Hubei Province,China 《World Journal of Gastroenterology》 SCIE CAS CSCD 2002年第3期483-487,共5页
AIM: Cyclooxygenase-2 (COX-2) has been suggested to be associated with carcinogenesis. We sought to investigate the effect of the selective COX-2 inhibitor, Nimesulide on proliferation and apoptosis of SMMC-7721 human... AIM: Cyclooxygenase-2 (COX-2) has been suggested to be associated with carcinogenesis. We sought to investigate the effect of the selective COX-2 inhibitor, Nimesulide on proliferation and apoptosis of SMMC-7721 human hepatoma cells.METHODS: This study was carried out on the culture of hepatic carcinoma SMMC-7721 cell line. Various concentrations of Nimesulide (0, 200 micromol/L, 300 micromol/L, 400 micromol/L) were added and incubated. Cell proliferation was detected with MTT colorimetric assay, cell apoptosis by electron microscopy, flow cytometry and TUNEL.RESULTS: Nimesulide could significantly inhibit SMMC-7721 cells proliferation dose-dependent and in a dependent manner compared with that of the control group. The duration lowest inhibition rate produced by Nimesulide in SMMC-7721 cells was 19.06%, the highest inhibition rate was 58.49%. After incubation with Nimesulide for 72 h, the most highest apoptosis rate and apoptosis index of SMMC-7721 cells comparing with those of the control were 21.20%+/-1.62% vs 2.24%+/-0.26% and 21.23+/-1.78 vs 2.01+/-0.23 (P【0.05). CONCLUSION:The selective COX-2 inhibitor, Nimesulide can inhibit the proliferation of SMMC-7721 cells and increase apoptosis rate and apoptosis index of SMMC-7721 cells. The apoptosis rate and the apoptosis index are dose-dependent. Under electron microscope SMMC-7721 cells incubated with 300 micromol and 400 micromol Nimesulide show apoptotic characteristics. With the clarification of the mechanism of selective COX-2 inhibitors, These COX-2 selective inhibitors can become the choice of prevention and treatment of cancers. 展开更多
关键词 Apoptosis Carcinoma Hepatocellular control Cell Division Cyclooxygenase 2 Cyclooxygenase 2 inhibitors Cyclooxygenase inhibitors Humans ISOENZYMES inhibitors Liver Neoplasms Membrane Proteins Prostaglandin-Endoperoxide Synthases SULFONAMIDES Tumor Cells Cultured
下载PDF
Education-based approach to addressing non-evidence-based practice in preventing NSAID-associated gastrointestinal complications 被引量:5
9
作者 Angel Lanas Juan V Esplugues +1 位作者 Javier Zapardiel Eduardo Sobreviela 《World Journal of Gastroenterology》 SCIE CAS CSCD 2009年第47期5953-5959,共7页
AIM:To evaluate an evidence-based educational program for improving strategies for prevention of non-steroidal anti-inflammatory drug(NSAID)-associated gastrointestinal(GI)complications. METHODS:Four hundred and fifty... AIM:To evaluate an evidence-based educational program for improving strategies for prevention of non-steroidal anti-inflammatory drug(NSAID)-associated gastrointestinal(GI)complications. METHODS:Four hundred and fifty-six specialists replied to a questionnaire that covered issues related to NSAID-induced adverse effects.They also collected data from their last five consecutive patients before and after they had attended an evidence-based seminar on GI prevention strategies. RESULTS:Four hundred and forty-one of 456 specialists(96.7%)participated in the survey,and 382(83.7%)in the education-based study that recorded data from 3728 patients.The specialists overestimated the risk of GI complications with NSAIDs,underestimated the GI safety profile of coxibs,but were aware of the risk factors and of the current prevention strategies.Proton pump inhibitors were co-prescribed with NSAIDs in>80% of patients with and without risk factors.The educational program had little impact on prescribing habits.CONCLUSION:Specialists are informed of advances in NSAID-associated adverse effects and have high rates of GI-prevention therapy.Our educational program did not alter these rates. 展开更多
关键词 Nonsteroidal anti-inflammatory agents EDUCATION Gastrointestinal diseases Adverse effects Cyclooxygenase 2 inhibitors Proton pump inhibitors
下载PDF
Nicotine enhances migration and invasion of human esophageal squamous carcinoma cells which is inhibited by nimesulide 被引量:3
10
作者 Ye Zong Shu-Tian Zhang Sheng-Tao Zhu 《World Journal of Gastroenterology》 SCIE CAS CSCD 2009年第20期2500-2505,共6页
AIM: To study the effect of nicotine on the migration and invasion of human esophageal squamous carcinoma cells and to investigate whether nimesulide can inhibit the effect of nicotine.METHODS: The esophageal squamo... AIM: To study the effect of nicotine on the migration and invasion of human esophageal squamous carcinoma cells and to investigate whether nimesulide can inhibit the effect of nicotine.METHODS: The esophageal squamous carcinoma cell line (TE-13) was treated with different concentrations of nicotine (100 μg/mL and 200 μg/mL) or 200 μg/mL nicotine plus 100 μmol/L nimesulide. Cell migration and invasion were measured using migration and invasion chamber systems. COX-2 expression was determined by Western blotting. Matrix metalloproteinase-2 (MMP-2) was analyzed by zymography and ELISA.RESULTS: Nicotine (100 μg/mL, 200 μg/mL) enhanced TE-13 cells migration and invasion, and increased the protein expression of COX-2 and the activity of MMP-2. Nicotine (200 μ/mL) stimulated TE-13 cells migration and invasion which were partly blocked by nimesulide. This was associated with decreased protein expression of COX-2 and decreased activity and protein expression of MMP-2. CONCLUSION: Nicotine enhances the migration and invasion of the esophageal squamous carcinoma cell line, and nimesulide partly blocks the effect ofnicotine-enhanced esophageal squamous carcinoma cell migration and invasion. 展开更多
关键词 Carcinoma Cyclooxygenase 2 inhibitors ESOPHAGUS NICOTINE Squamous cell
下载PDF
帕瑞昔布钠联合硬膜外吗啡用于妇科手术病人多模式术后镇痛的效果:随机、双盲、安慰剂对照、多中心、前瞻性研究 被引量:5
11
作者 刘卫锋 刘克玄 +3 位作者 赵国栋 肖金仿 彭书峻 黄文起 《中华麻醉学杂志》 CAS CSCD 北大核心 2012年第11期1293-1296,共4页
目的评价帕瑞昔布钠联合硬膜外吗啡用于妇科手术病人多模式术后镇痛的效果。方法随机、双盲、安慰剂对照、多中心、前瞻性研究。择期脊椎.硬膜外联合阻滞下行妇科开腹手术病人240例,性别不限,年龄18~64岁,ASA分级Ⅰ或Ⅱ级。采用随... 目的评价帕瑞昔布钠联合硬膜外吗啡用于妇科手术病人多模式术后镇痛的效果。方法随机、双盲、安慰剂对照、多中心、前瞻性研究。择期脊椎.硬膜外联合阻滞下行妇科开腹手术病人240例,性别不限,年龄18~64岁,ASA分级Ⅰ或Ⅱ级。采用随机数字表法,将病人随机分为2组:对照组(c组)和帕瑞昔布钠组(P组)。于手术开始前30min,C组和P组分别静脉注射生理盐水2ml或帕瑞昔布钠40mg,给药后12、24和36h时再静脉注射生理盐水2ml或帕瑞昔布钠40mg。2组均采用吗啡PCEA,术后维持VAS评分≤3。当VAS评分〉4分时,静脉注脉曲马多作为补救镇痛用药。记录术后48h内PCEA总按压次数和有效按压次数、吗啡用量、补救药使用情况;术后48h时记录病人对镇痛的总体满意度评分,取血样,测定血清Cr、BUN、ALT、AST、总胆红素水平和凝血功能,记录各指标异常的发生情况;记录术后48h内不良反应(恶心、呕吐、瘙痒)的发生情况和胃肠功能恢复情况。结果共完成225例,其中P组112例,C组113例。与C组比较,P组PCEA总按压次数和有效按压次数、吗啡用量和补救用药率降低,病人对镇痛总体满意度评分升高,术后呕吐发生率降低(P〈0.05或0.01);2组恶心和瘙痒发生率、胃肠功能恢复情况以及肝肾功能和凝血功能指标异常发生率比较差异无统计学意义(P〉0.05)。结论帕瑞昔布钠联合硬膜外吗啡可安全有效地用于妇科手术病人术后多模式镇痛,同时还可降低吗啡用量,减免吗啡的副作用。 展开更多
关键词 环氧化酶2抑制剂 吗啡 镇痛 硬膜外 妇科外科手术
原文传递
Efficacy and safety of perioperative parecoxib for acute postoperative pain treatment in children: a meta-analysis 被引量:7
12
作者 Xueshan Bu Lei Yang Yunxia Zuo 《Frontiers of Medicine》 SCIE CAS CSCD 2015年第4期496-507,共12页
Perioperative parecoxib administration reduces postoperative pain, opioid consumption, and adverse events in adult patients. However, the efficacy and safety of parecoxib in children remain unclear. This meta-analysis... Perioperative parecoxib administration reduces postoperative pain, opioid consumption, and adverse events in adult patients. However, the efficacy and safety of parecoxib in children remain unclear. This meta-analysis included related published studies to address this concern. Eight databases in the literature until February 2015 were systematically explored to identify randomized controlled trials (RCTs) comparing perioperative parecoxib administration and placebo/standard treatments for acute postoperative pain in children. Primary outcomes were postoperative pain scores and adverse events. The Face, Legs, Activity, Crying, Consolability scale was used to score pain in children younger than 6 years, whereas the Visual Analog Scale was used in children older than 6 years. Secondary outcomes were sedation scores (measured using the Ramsay scale), agitation scores (measured using the Sedation-Agitation Scale), and opioid consumption. The methodological quality of RCTs was independently assessed in accordance with the "Risk of bias" of Cochrane Collaboration. Data were analyzed using Review Manager 5.2. Twelve RCTs involving 994 patients met the inclusion criteria. Compared with children who received placebo treatment, those who received parecoxib demonstrated lower early (2 h) and later (12 h) postoperative pain scores; lower incidence rates of postoperative nausea, vomiting, and agitation; higher early (1 h) postoperative sedation scores; and lower agitation scores. Similarly, children who received parecoxib had lower early (2 h) and later (12 h) postoperative pain scores, lower incidence rates of postoperative nausea and vomiting, and lower early (1 h) postoperative sedation scores compared with those who received standard treatments; however, these children showed no significant difference in agitation scores. Unfortunately, data on the effect of parecoxib on opioid consumption were insufficient. Overall, these results suggested that perioperative parecoxib administration was associated with less acute postoperative pain and fewer adverse events compared with placebo or standard treatments. Parecoxib administration also resulted in less emergence agitation compared with placebo treatment and less excessive sedation concern compared with standard treatments. However, the long-term effects, effects on opioid consumption, and patient satisfaction of parecoxib administration warrant further investigation. 展开更多
关键词 NSAID cyclooxygenase 2 inhibitor child pain postoperative OPIOID PLACEBO
原文传递
上一页 1 下一页 到第
使用帮助 返回顶部