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雷氯必利与氟哌啶醇在精神分裂症急性期的双盲比较。不列颠群岛雷氯必利研究小组。

A double-blind comparison of raclopride and haloperidol in the acute phase of schizophrenia. The British Isles Raclopride Study Group.

出版信息

Acta Psychiatr Scand. 1992 Nov;86(5):391-8. doi: 10.1111/j.1600-0447.1992.tb03286.x.

Abstract

This is the first comparative double-blind study of raclopride. Ninety-one patients with acute schizophrenia received either raclopride 2-8 mg twice daily or haloperidol 5-20 mg twice daily for 4 weeks. Both neuroleptics produced clinical improvements. There were no significant between-drug differences in overall efficacy measurements as assessed by the schizophrenia change sub-scale of the Comprehensive Psychopathological Rating Scale and the Krawiecka (Manchester) Rating Scale. Assessment by the Clinical Global Impression scale found haloperidol to be more effective. There were significantly fewer extrapyramidal symptoms with raclopride and a significantly lower incidence of acute dystonia. The results suggest that raclopride has an antipsychotic effect with a low incidence of extrapyramidal side effects.

摘要

这是第一项关于雷氯必利的比较性双盲研究。91例急性精神分裂症患者接受了为期4周的治疗,其中一组患者每日两次服用2 - 8毫克雷氯必利,另一组患者每日两次服用5 - 20毫克氟哌啶醇。两种抗精神病药物均产生了临床改善。根据综合精神病理学评定量表的精神分裂症变化子量表和克拉维茨卡(曼彻斯特)评定量表评估,两种药物在总体疗效测量方面没有显著差异。通过临床总体印象量表评估发现氟哌啶醇更有效。雷氯必利的锥体外系症状明显较少,急性肌张力障碍的发生率也显著较低。结果表明,雷氯必利具有抗精神病作用,且锥体外系副作用发生率较低。

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