Ruskin P E, Nyman G
Department of Geropsychiatry, Baltimore Veterans Administration Medical Center, Maryland 21218.
J Nerv Ment Dis. 1991 Apr;179(4):212-4. doi: 10.1097/00005053-199104000-00006.
Thirty-five schizophrenic outpatients over the age of 52 who had been stable on neuroleptic medication were all switched to haloperidol. Ten patients were unable to tolerate the haloperidol and two dropped out of the study. The remaining 23 patients were randomly and blindly assigned to haloperidol or placebo and then followed for 6 months. Five patients did not complete the study due to medical or administrative reasons. Among the patients who completed the study, five of 10 randomized to placebo relapsed compared with only one of eight randomized to haloperidol. However, three of 10 patients randomized to placebo have remained stable without medication for 2.5 years.
35名年龄在52岁以上、使用抗精神病药物病情稳定的精神分裂症门诊患者全部改用氟哌啶醇。10名患者无法耐受氟哌啶醇,2名退出研究。其余23名患者被随机、盲法分配接受氟哌啶醇或安慰剂治疗,然后随访6个月。5名患者因医疗或管理原因未完成研究。在完成研究的患者中,随机分配到安慰剂组的10名患者中有5名复发,而随机分配到氟哌啶醇组的8名患者中只有1名复发。然而,随机分配到安慰剂组的10名患者中有3名在未用药的情况下病情稳定了2.5年。