Delcker A, Schoon M L, Oczkowski B, Gaertner H J
Department of Psychiatry, University of Tübingen, FRG.
Pharmacopsychiatry. 1990 May;23(3):125-30. doi: 10.1055/s-2007-1014494.
In a double-blind study, 41 schizophrenic patients (ICD, 9th rev.) were divided into two groups. With a flexible dose, twenty patients were treated with haloperidol, twenty-one with amisulpride. With respect to relevant criteria such as age, sex, length and degree of illness, the two groups were comparable. The study was conducted over 42 days. As early as within the first 14 days, both groups showed significant improvement with respect to their psychotic symptoms. When the two groups were compared on the basis of the BPRS subscore for the anxiety-depression syndrome, and the AMDP system subscores for the somatic-depressive syndrome and the hypochondriac syndrome, the amisulpride group showed significantly better results than the haloperidol group. The ratings on the EPS scales of Webster and Simpson revealed significantly fewer extrapyramidal side-effects in the amisulpride group. Psychotic symptoms were improved after both types of treatment. Amisulpride treatment showed better results with regard to depressive symptoms, and less tendency to generate extrapyramidal side-effects.
在一项双盲研究中,41名精神分裂症患者(国际疾病分类第九版修订本)被分为两组。采用灵活剂量,20名患者接受氟哌啶醇治疗,21名患者接受氨磺必利治疗。在年龄、性别、病程长短和病情严重程度等相关标准方面,两组具有可比性。该研究持续了42天。早在最初的14天内,两组患者的精神病症状就都有了显著改善。当根据简明精神病评定量表(BPRS)焦虑抑郁综合征子评分以及躁狂抑郁症状评定量表(AMDP系统)躯体抑郁综合征和疑病综合征子评分对两组进行比较时,氨磺必利组的结果显著优于氟哌啶醇组。韦伯斯特和辛普森的锥体外系反应量表评分显示,氨磺必利组的锥体外系副作用明显较少。两种治疗后精神病症状均得到改善。氨磺必利治疗在抑郁症状方面显示出更好的效果,且产生锥体外系副作用的倾向较小。