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碳酸锂与氟哌啶醇治疗亨廷顿舞蹈病的双盲试验。

A double blind trial of lithium carbonate and haloperidol in Huntington's chorea.

作者信息

Leonard D P, Kidson M A, Brown J G, Shannon P J, Taryan S

出版信息

Aust N Z J Psychiatry. 1975 Jun;9(2):115-8. doi: 10.3109/00048677509159834.

DOI:10.3109/00048677509159834
PMID:125578
Abstract

Six patients with a family history of Huntington's chorea (HC) participated in a double blind crossover trial involving four treatments--lithium carbonate, haloperidol, lithium carbonate and haloperidol, and placebo. Each treatment was administered for three weeks and, at the end of each treatment period, assessments were made of chorea and a number of psychological variables. None of the treatments significantly affected chorea measurements. With regard to the psychological variables, the levels of irritability, the frequency of angry outbursts and depression did appear to be affected in some patients by the treatment. Three patients improved on a combination of lithium carbonate and haloperidol while the remaining three did not. Haloperidol alone significantly raised depression ratings above levels for other treatments including placebo. It is suggested that lithium carbonate and haloperidol together should be seriously considered in the treatment of HC when patients are excessively irritable and impulsive.

摘要

六名有亨廷顿舞蹈病(HC)家族病史的患者参与了一项双盲交叉试验,该试验涉及四种治疗方法——碳酸锂、氟哌啶醇、碳酸锂与氟哌啶醇联用以及安慰剂。每种治疗方法持续给药三周,并且在每个治疗阶段结束时,对舞蹈病症状以及一些心理变量进行评估。没有一种治疗方法对舞蹈病测量结果产生显著影响。关于心理变量,易怒程度、愤怒爆发频率和抑郁水平在一些患者中似乎确实受到了治疗的影响。三名患者在碳酸锂和氟哌啶醇联用时病情有所改善,而其余三名患者则没有。单独使用氟哌啶醇会使抑郁评分显著高于包括安慰剂在内的其他治疗方法。建议当患者过度易怒和冲动时,在HC的治疗中应认真考虑联合使用碳酸锂和氟哌啶醇。

相似文献

1
A double blind trial of lithium carbonate and haloperidol in Huntington's chorea.碳酸锂与氟哌啶醇治疗亨廷顿舞蹈病的双盲试验。
Aust N Z J Psychiatry. 1975 Jun;9(2):115-8. doi: 10.3109/00048677509159834.
2
Letter: Double-blind trial of lithium carbonate and haloperidol in Huntington's chorea.信件:碳酸锂与氟哌啶醇治疗亨廷顿舞蹈症的双盲试验。
Lancet. 1974 Nov 16;2(7890):1208-9. doi: 10.1016/s0140-6736(74)90847-2.
3
Treatment of Huntington's chorea with lithium carbonate. A double-blind trial.
Lancet. 1974 Jan 26;1(7848):107-9. doi: 10.1016/s0140-6736(74)92339-3.
4
[Sleep in Huntington chorea: its modification following lithium carbonate and lithium carbonate-haloperidol therapy].
Riv Neurol. 1978 Nov-Dec;48(6):708-16.
5
Letter: Huntington's chorea treated with lithium carbonate.信件:用碳酸锂治疗亨廷顿舞蹈症。
Lancet. 1974 Apr 27;1(7861):811. doi: 10.1016/s0140-6736(74)92881-5.
6
Lithium carbonate in Huntington's chorea.碳酸锂治疗亨廷顿舞蹈病
Lancet. 1973 May 5;1(7810):1010. doi: 10.1016/s0140-6736(73)91664-4.
7
Lithium treatment of Huntington's chorea. A placebo-controlled clinical trial.锂盐治疗亨廷顿舞蹈病。一项安慰剂对照临床试验。
Acta Psychiatr Scand. 1977 Sep;56(3):183-8. doi: 10.1111/j.1600-0447.1977.tb03561.x.
8
Behavioral efficacy of haloperidol and lithium carbonate. A comparison in hospitalized aggressive children with conduct disorder.氟哌啶醇与碳酸锂的行为疗效。住院的患有品行障碍的攻击性儿童的比较。
Arch Gen Psychiatry. 1984 Jul;41(7):650-6. doi: 10.1001/archpsyc.1984.01790180020002.
9
Letter: Lithium and haloperidol in movement disorders.信件:锂盐与氟哌啶醇在运动障碍中的应用
Lancet. 1974 May 25;1(7865):1058. doi: 10.1016/s0140-6736(74)90464-4.
10
[Efficacy of lithium carbonate in the treatment of Huntington's chorea].碳酸锂治疗亨廷顿舞蹈症的疗效
Acta Neurol (Napoli). 1977 Nov-Dec;32(6):862-71.

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