Unverified85% confidenceTradeoffTime unknown
退热镇痛快起效强的药物往往胃刺激也强（如阿司匹林、吲哚美辛），单纯退热/轻度头痛应优先对乙酰氨基酚（非NSAID，无胃肠道损伤），而非追求NSAIDs的抗炎强度
1
Sources
85%
Confidence
Long-term
Relevance
-
First Seen
Sources
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Unverified如果是胃溃疡史、正在服用抗凝药或对NSAIDs过敏的患者需要止痛退热，对乙酰氨基酚是首选方案81% similarUnverified对乙酰氨基酚（扑热息痛）只有镇痛退热作用、无抗炎作用；布洛芬、萘普生、双氯芬酸属于NSAIDs兼具抗炎作用，牙痛/关节炎/痛经等炎症性疼痛优先选布洛芬类79% similarUnverifiedNSAIDs镇痛效果强、起效快但胃肠道溃疡和肝肾风险高；加巴喷丁副作用小（主要为嗜睡）但对炎性痛效果弱，更适合神经性疼痛和辅助镇痛76% similarUnverified服用抗凝药（华法林、利伐沙班）或抗血小板药（阿司匹林、氯吡格雷）期间不应自行加用NSAIDs，会显著增加消化道及颅内出血风险75% similarUnverified止痛越强越快的NSAIDs对胃肠道和肾脏负担越大；偶发轻中度痛经可选对乙酰氨基酚（对胃友好），频繁重度痛经再上布洛芬/萘普生75% similar
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