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卡马西平治疗对神经安定药难治的阿尔茨海默病门诊患者的激越症状

Carbamazepine treatment of agitation in Alzheimer's outpatients refractory to neuroleptics.

作者信息

Gleason R P, Schneider L S

机构信息

Department of Psychiatry, University of Southern California School of Medicine, Los Angeles.

出版信息

J Clin Psychiatry. 1990 Mar;51(3):115-8.

PMID:1968457
Abstract

Nine outpatients who met well-defined criteria for probable Alzheimer's disease (AD) and who had significant behavioral agitation failed to improve with neuroleptic therapy and were subsequently treated with carbamazepine. Five patients showed a clear improvement, and one patient an equivocal response according to clinical evaluation and Brief Psychiatric Rating Scale scores; those results suggests that carbamazepine may be useful to treat agitated AD patients who have not previously responded to neuroleptics and patients with other organic mental syndromes.

摘要

九名符合明确的可能阿尔茨海默病(AD)标准且存在明显行为激越症状的门诊患者,接受抗精神病药物治疗后未见改善,随后接受了卡马西平治疗。根据临床评估和简明精神病评定量表评分,五名患者显示出明显改善,一名患者反应不明确;这些结果表明,卡马西平可能有助于治疗先前对抗精神病药物无反应的激越性AD患者以及患有其他器质性精神综合征的患者。

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