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奥氮平治疗八例青少年精神病患者。

Olanzapine treatment of eight adolescent patients with psychosis.

作者信息

Ercan Eyup Sabri, Kutlu Ayşe, Varan Azmi, Cikoğlu Sibel, Coşkunol Hakan, Bayraktar Erhan

机构信息

Department of Child and Adolescent Psychiatry, Ege University, Bornova, Izmir, Turkey.

出版信息

Hum Psychopharmacol. 2004 Jan;19(1):53-6. doi: 10.1002/hup.547.

Abstract

Although olanzapine is known as a widely used atypical antipsychotic there have been very few studies about its use in children and adolescents. Eight adolescent patients who were diagnosed as having schizophrenia or schizoaffective disorder, and treated with olanzapine are reported in this case series. The patients were followed-up for 17.5 weeks in the range 4-26 weeks. According to the CGI improvement assessment at the end of the follow-up period, three of eight cases were rated as very much or much improved, three as minimally improved and two as not improved. Olanzapine was well tolerated by the adolescents in this case series except for weight gain. Our results suggest that olanzapine may be an effective antipsychotic for some psychotic adolescents and during olanzapine trials weight gain. Should be monitored.

摘要

尽管奥氮平是一种广泛使用的非典型抗精神病药物,但关于其在儿童和青少年中的使用研究却很少。本病例系列报告了8名被诊断为患有精神分裂症或分裂情感性障碍并接受奥氮平治疗的青少年患者。患者随访了17.5周,时间范围为4至26周。根据随访期末的CGI改善评估,8例中有3例被评为显著改善或有很大改善,3例为轻度改善,2例无改善。在本病例系列中,除体重增加外,青少年对奥氮平耐受性良好。我们的结果表明,奥氮平可能是一些患有精神病的青少年有效的抗精神病药物,在奥氮平试验期间应监测体重增加情况。

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