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酒精戒断期间的锂治疗。

Lithium treatment during alcoholic withdrawal.

作者信息

Sellers E M, Cooper S D, Zilm D H, Shanks C

出版信息

Clin Pharmacol Ther. 1976 Aug;20(2):199-206. doi: 10.1002/cpt1976202199.

DOI:10.1002/cpt1976202199
PMID:181193
Abstract

The efficacy of lithium carbonate was studied in 18 chronic alcoholic male patients in withdrawal. In mild alcoholic withdrawal, oral lithium carbonate, 0.3 gm every 8 hr, diminishes subjective symptoms of withdrawal and normalizes performance on a motor tracking task. Patients who start lithium while drinking ethanol improve most probably because it takes longer than 3 days for lithium concentrations in the blood to plateau. Lithium does not importantly alter patterns of catecholamine excretion, blood pressures, heart rate, serum cyclic-adenosine monophosphate (AMP), serum dopamine beta-hydroxylase (DBH), sleep pattern, or tremor amplitude during withdrawal.

摘要

对18名处于戒酒期的慢性酒精中毒男性患者研究了碳酸锂的疗效。在轻度酒精戒断期,每8小时口服0.3克碳酸锂可减轻戒断的主观症状,并使运动跟踪任务的表现恢复正常。在饮酒时开始服用锂的患者改善最为明显,这可能是因为血液中锂浓度达到稳定水平需要超过3天的时间。在戒断期间,锂对儿茶酚胺排泄模式、血压、心率、血清环磷酸腺苷(AMP)、血清多巴胺β-羟化酶(DBH)、睡眠模式或震颤幅度没有重要影响。

相似文献

1
Lithium treatment during alcoholic withdrawal.酒精戒断期间的锂治疗。
Clin Pharmacol Ther. 1976 Aug;20(2):199-206. doi: 10.1002/cpt1976202199.
2
Effect of propranolol on acute withdrawal tremor in alcoholic patients.普萘洛尔对酒精性患者急性戒断震颤的影响。
J Neurol Neurosurg Psychiatry. 1976 Jun;39(6):607-12. doi: 10.1136/jnnp.39.6.607.
3
[Use of lithium in the treatment of alcoholic patients].[锂在酒精性患者治疗中的应用]
Zh Nevropatol Psikhiatr Im S S Korsakova. 1977;77(8):1235-7.
4
Serum dopamine-beta-hydroxylase activity and alcohol withdrawal symptoms.
Drug Alcohol Depend. 1987 Jan;19(1):45-50. doi: 10.1016/0376-8716(87)90086-x.
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Letter: Propranolol-decreased noradrenaline excretion and alcohol withdrawal.
Lancet. 1976 Jan 10;1(7950):94-5. doi: 10.1016/s0140-6736(76)90193-8.
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Comparative efficacy of propranolol and chlordiazepoxide in alcohol withdrawal.普萘洛尔与氯氮卓在酒精戒断中的疗效比较
J Stud Alcohol. 1977 Nov;38(11):2096-108. doi: 10.15288/jsa.1977.38.2096.
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[Benzodiazepines in the treatment of alcoholism].[苯二氮䓬类药物在酒精中毒治疗中的应用]
Encephale. 1983;9(4 Suppl 2):293B-298B.
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Letter: Effect of propranolol on tremor of alcohol withdrawal.
N Engl J Med. 1976 Apr 1;294(14):785. doi: 10.1056/NEJM197604012941418.
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Effects of lithium on alcohol preference and withdrawal.锂对酒精偏好和戒断的影响。
Ann N Y Acad Sci. 1976;273:371-7. doi: 10.1111/j.1749-6632.1976.tb52902.x.
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Influence of increased adrenergic activity and magnesium depletion on cardiac rhythm in alcohol withdrawal.肾上腺素能活性增加和镁缺乏对酒精戒断时心脏节律的影响。
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