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癸酸氟哌啶醇在精神疾病中的应用。

Use of haloperidol decanoate in psychiatric diseases.

作者信息

Zonda T, Kövári E

机构信息

Psychiatric Patient Admission and Observation Unit, Jahn Ferenc Hospital, Budapest.

出版信息

Ther Hung. 1992;40(2):64-8.

PMID:1361081
Abstract

Observations with slow-release neuroleptics used in the treatment of inpatients of a psychiatric ward of a general hospital have been discussed. The comparative examinations were performed within a period of two and a half years in a total of 48 patients who were ranged into two groups at random. One group received Piportil, the other Haloperidol decanoate therapy. It has to be emphasized that Haloperidol is available also in its tablet form and as short-acting injection, and is readily accessible (contrary to other products), so it is a good basis for assessing the expectable effectivity of and tolerance to depot products. When comparing the two drugs, in the course of Piportil administration neuroleptic depression developed more frequently, in one case delirium occurred which unwanted effects did not develop in the course of the administration of Haloperidol decanoate. According to our observations on a low number of cases relapse also occurred more frequently in the Piportil-treated cases. Pathological change was not observed in the results of routine laboratory examinations in the course of the administration of any of the drugs. The advantages of the use of depot products have been discussed in detail from both the physician's and the patient's aspect. Due to their beneficial antipsychotic action schizophrenic clinical conditions and especially paranoid conditions constitute the major indication field of these drugs. The use of depot products in the treatment of patients refusing therapy means a dramatic change.

摘要

本文讨论了在一家综合医院精神科病房住院患者治疗中使用缓释抗精神病药物的观察结果。在两年半的时间里,对48例患者进行了对比检查,这些患者被随机分为两组。一组接受匹莫齐特治疗,另一组接受癸酸氟哌啶醇治疗。必须强调的是,氟哌啶醇也有片剂形式和短效注射剂,且容易获得(与其他产品不同),因此它是评估长效制剂预期有效性和耐受性的良好基础。比较这两种药物时,在使用匹莫齐特的过程中,抗精神病药物性抑郁更频繁地发生,有1例出现谵妄,而在使用癸酸氟哌啶醇的过程中未出现这些不良反应。根据我们对少数病例的观察,接受匹莫齐特治疗的病例复发也更频繁。在使用任何一种药物的过程中,常规实验室检查结果均未观察到病理变化。从医生和患者的角度详细讨论了使用长效制剂的优点。由于其有益的抗精神病作用,精神分裂症临床状况,尤其是偏执状态是这些药物的主要适应证领域。在治疗拒绝治疗的患者中使用长效制剂意味着一个巨大的改变。

相似文献

1
Use of haloperidol decanoate in psychiatric diseases.癸酸氟哌啶醇在精神疾病中的应用。
Ther Hung. 1992;40(2):64-8.
2
Duration of neuroleptic treatment and relapse rate: a 5-year follow-up study with haloperidol decanoate.
Clin Neuropharmacol. 1991;14 Suppl 2:S16-21; discussion S22-3.
3
[Prescribing patterns of antipsychotics in 13 French psychiatric hospitals].[法国13家精神病医院抗精神病药物的处方模式]
Encephale. 2009 Apr;35(2):129-38. doi: 10.1016/j.encep.2008.03.007. Epub 2008 Jul 7.
4
Utilization of depot neuroleptic medication in psychiatric inpatients.长效抗精神病药物在精神科住院患者中的应用。
Psychopharmacol Bull. 1996;32(3):321-6.
5
A practical loading dose method for converting schizophrenic patients from oral to depot haloperidol therapy.一种将精神分裂症患者从口服氟哌啶醇治疗转换为长效氟哌啶醇治疗的实用负荷剂量方法。
J Clin Psychiatry. 1996 Jul;57(7):298-302.
6
Haloperidol decanoate as a replacement for maintenance therapy with intramuscular fluphenazine decanoate in schizophrenia and other chronic psychoses.癸酸氟哌啶醇替代癸酸氟奋乃静进行精神分裂症及其他慢性精神病的维持治疗。
Acta Psychiatr Belg. 1982 Mar-Apr;82(2):216-23.
7
[Evaluation of the efficacy of haloperidol decanoate in the treatment of chronic psychotic hospital patients].[癸酸氟哌啶醇治疗慢性精神病住院患者的疗效评估]
Acta Psiquiatr Psicol Am Lat. 1985 Mar;31(1):37-41.
8
[Evaluation of the efficacy of haloperidol decanoate].
Acta Psiquiatr Psicol Am Lat. 1986 Sep;32(3):233-6.
9
Oral versus injectable antipsychotic treatment in early psychosis: post hoc comparison of two studies.早期精神病的口服与注射用抗精神病药物治疗:两项研究的事后比较
Clin Ther. 2008 Dec;30(12):2378-86. doi: 10.1016/j.clinthera.2008.12.020.
10
[Evaluation of clinical usefulness of decaldol (haloperidol decanoate) produced by WZF Polfa in Warsaw in long-term treatment of schizophrenia].
Psychiatr Pol. 1995 May-Jun;29(3):405-20.

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Intramuscular preparations of antipsychotics: uses and relevance in clinical practice.抗精神病药物的肌肉注射制剂:在临床实践中的用途及相关性。
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