对乙酰氨基酚VS布洛芬有哪些不同？
<p><span style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; white-space: pre-wrap; background-color: rgb(255, 255, 255); font-size: 16px;">孩子发烧，目前普遍应用和被推荐的退热药物只有两种：对乙酰氨基酚和布洛芬。</span></p><p><br style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);"/><span style="font-size: 16px;"><strong><span style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);"> 对乙酰氨基酚VS布洛芬有哪些不同？</span></strong><br style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);"/><span style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);">虽然两种药物都具有解热、镇痛的作用，但是仔细对比，有以下不同：</span><br style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);"/><span style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);">第一，抗炎作用不同</span><br style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);"/><span style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);">布洛芬具有抗炎作用，对乙酰氨基酚不具备抗炎作用。</span><br style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);"/><span style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);">第二，退热效果不同</span><br style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);"/><span style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);">布洛芬的退热作用相对来说稍微强一些，降温维持时间相对也较长。</span><br style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);"/><span style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);">对乙酰氨基酚（与布洛芬相比）退热作用相对较弱，但是口服后半小时，降温速度比布洛芬更快。</span><br style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);"/><span style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);">第三，用法不同</span><br style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);"/><span style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);">对乙酰氨基酚的肠道不良反应较小，不会刺激胃黏膜，可以餐前服用。</span><br style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);"/><span style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);">布洛芬的肠胃反应较大，建议随餐服用或者餐后服用。</span><br style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);"/><span style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);">第四，不适合人群不同</span><br style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);"/><strong><span style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);">布洛芬不适合人群：</span></strong><br style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);"/><span style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);">（1）医学研究显示，布洛芬与阿司匹林有交叉过敏，所以明确对阿司匹林过敏者不可使用布洛芬。</span><br style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);"/><span style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);">（2）有消化性溃疡史、胃肠道出血、心功能不全、肝肾功能不全、高血压、凝血机制或血小板功能障碍（如血友病）的患儿不可使用布洛芬。</span><br style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);"/><span style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);">（3）有脱水症状或者水分补充不够等低血容量的患儿使用布洛芬退热，会增加肾功能损害的风险。</span><br style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);"/><span style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);">（4）水痘患儿慎用布洛芬</span><br style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);"/><strong><span style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);">对乙酰氨基酚不适合人群：</span></strong><br style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);"/><span style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);">服用对乙酰氨基酚主要是对肝肾功能方面的限制，限制人群相对较少。</span><br style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);"/><span style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);">（1）严重肝肾功能不全者不能使用对乙酰氨基酚。</span><br style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);"/><span style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);">（2）肝病或者病毒性肝炎、轻至中度肝肾功能不全、严重心肺疾病的患儿不可使用，如患儿出现黄疸症状需要立即进行肝功能检查。</span><br style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);"/><span style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);">（3）蚕豆病患儿慎用对乙酰氨基酚</span><br style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);"/><strong><span style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);">如何正确选用布洛芬和对乙酰氨基酚？</span></strong><br style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);"/><span style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);">6个月以内的婴儿发热，要选择对乙酰氨基酚进行退热。</span><br style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);"/><span style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);">6个月以上的宝宝发热，没有特殊情况和其他疾病的，选择布洛芬或者对乙酰氨基酚其中一种就可以，两者没有明显的优劣。</span><br style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);"/><span style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);">患有“水痘”的6个月以上宝宝发热，则推荐使用对乙酰氨基酚退热。</span><br style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);"/><span style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);">患有“蚕豆病”的6个月以上宝宝发热，选择使用布洛芬退热。</span><br style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);"/><span style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);">6个月以上宝宝，如患有肾脏疾病、或其他慢性疾病；或者发现宝宝在发热过程中伴有脱水症状，比如：较严重的呕吐、拉肚子等，就要引起注意。需选择对乙酰氨基酚。</span><br style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);"/><strong><span style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);">退热用药需要注意哪些问题？</span></strong><br style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);"/><span style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);">1. 无论用对乙酰氨基酚还是布洛芬都需要注意用药间隔及最大服药剂量，按照孩子体重去计算服药剂量。购买时看清楚是滴剂还是混悬剂，计算服药剂量之前看清楚药物规格。</span><br style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);"/><span style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);">2. 在使用布洛芬或者对乙酰氨基酚期间，不建议同时使用其他复方感冒药和退热药，以免产生药物使用过量的风险。</span><br style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);"/><span style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);">3. 不推荐联合使用或者交叉使用对乙酰氨基酚和布洛芬。但是如果使用一种药物退烧不见效果，可以更换另外一种药物。如果出现持续高烧，精神萎靡、反复哭闹甚至惊厥等症状，家长就要带宝宝及时到医院就医。</span><br style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);"/><span style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);">4. 对于剧烈呕吐无法口服退热药的宝宝，家长可以选用栓剂。常见的退热栓成分是对乙酰氨基酚，栓剂直肠给药，经肠粘膜吸收，直接通过下腔静脉进入体循环，避免了肝脏首过效应。</span><br style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);"/><span style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);">5.在宝宝发烧用药期间，家长要注意给宝宝多喝水，确保孩子机体有足够水分，利于发汗散热。同时，要给宝宝穿轻薄吸汗的衣服，不可捂厚被子。家中要开窗通风，让空气对流，保证空气新鲜。</span><br style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);"/><strong><span style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);">温馨提示：</span></strong><br style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);"/><span style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);">家长们不要把宝宝的体温作为衡量要不要吃退烧药的唯一标准，而是要注意结合观察孩子精神状态以及医嘱来判断是否需要用药。</span><br style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);"/><span style="color: rgb(51, 51, 51); font-family: system-ui, -apple-system, Segoe UI, Roboto, Ubuntu, Cantarell, Noto Sans, sans-serif; font-size: 15px; white-space: pre-wrap; background-color: rgb(255, 255, 255);">总之，我们在使用药物时务必要小心谨慎，服药前一定要咨询医生，遵守医嘱，做到科学、安全用药，科学退烧才能让宝宝早日康复，健康成长。</span></span></p><link rel="stylesheet" href="//www.fqlook.cn/source/plugin/wcn_editor/public/wcn_editor_fit.css?v134_LQQ" id="wcn_editor_css"/> 我们在使用药物时务必要小心谨慎，遵守医嘱，做到科学、安全用药。 我们在使用药物时务必要小心谨慎，遵守医嘱，做到科学、安全用药。 我们在使用药物时务必要小心谨慎，遵守医嘱，做到科学、安全用药。 我们在使用药物时务必要小心谨慎，遵守医嘱，做到科学、安全用药。
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