Klieser E, Lehmann E, Tegeler J
Psychiatrische Klinik der Heinrich Heine Universität Düsseldorf.
Fortschr Neurol Psychiatr. 1991 Sep;59 Suppl 1:14-7. doi: 10.1055/s-2007-1000729.
To assess the efficiency/risk ratio, fixed doses of zotepine and haloperidol were compared by means of a double-blind study in acute schizophrenics over a 4-week period. The assessment tools were BPRS, CGI, and the Simpson-Angus scale for the extrapyramidal disturbances, and a free report on side effects. No differences between the groups were found in respect of efficacy. According to the Simpson-Angus scale, the patients who had been treated with zotepine achieved better values, this being a general trend. There were significant differences according to the free report on side effects. Especially at onset of treatment, the patients treated with zotepine complained of tiredness. Partly marked extrapyramidal disturbances were seen in the patients who had been treated with haloperidol.
为评估效率/风险比,通过双盲研究对急性精神分裂症患者在4周期间使用固定剂量的氯氮平和氟哌啶醇进行比较。评估工具包括简明精神病评定量表(BPRS)、临床总体印象量表(CGI)以及用于锥体外系障碍的辛普森-安格斯量表,还有一份关于副作用的自由报告。两组在疗效方面未发现差异。根据辛普森-安格斯量表,接受氯氮平治疗的患者得分更好,这是一个总体趋势。根据关于副作用的自由报告存在显著差异。特别是在治疗开始时,接受氯氮平治疗的患者抱怨疲劳。接受氟哌啶醇治疗的患者出现了部分明显的锥体外系障碍。