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瑞莫必利与硫利达嗪治疗精神分裂症急性期的双盲对照研究

A double-blind comparative study of remoxipride and thioridazine in the acute phase of schizophrenia.

作者信息

McCreadie R G, Todd N, Livingston M, Eccleston D, Watt J A, Herrington R N, Tait D, Crocket G, Mitchell M J, Huitfeldt B

机构信息

Crichton Royal Hospital, Dumfries, United Kingdom.

出版信息

Acta Psychiatr Scand Suppl. 1990;358:136-7. doi: 10.1111/j.1600-0447.1990.tb05305.x.

Abstract

Sixty-one patients with acute schizophrenia received either remoxipride (75-375 mg daily) or thioridazine (150-750 mg daily) for 6 weeks. There was no statistically significant between-drug difference in improvement in mental state, as measured by the Brief Psychiatric Rating Scale, although the trend favoured thioridazine; global assessment of illness severity at the last rating also favoured thioridazine. Sedation, anticholinergic effects, autonomic dysfunction, and weight gain were significantly more common in patients receiving thioridazine. Both drugs produced few extrapyramidal effects, but both were associated with cardiovascular changes in two patients; neither drug produced significant abnormalities in laboratory tests.

摘要

61例急性精神分裂症患者接受瑞莫必利(每日75 - 375毫克)或硫利达嗪(每日150 - 750毫克)治疗6周。根据简明精神病评定量表测量,两种药物在精神状态改善方面无统计学显著差异,尽管趋势上硫利达嗪更占优;末次评定时疾病严重程度的整体评估也更倾向于硫利达嗪。接受硫利达嗪治疗的患者中,镇静、抗胆碱能效应、自主神经功能障碍和体重增加更为常见。两种药物引起的锥体外系反应均较少,但均与2例患者的心血管变化有关;两种药物在实验室检查中均未产生明显异常。

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