Liu Yan-Yan, Chen Yan-Hui, Chen Hui, Liu Zhi-Sheng
Department of Pediatrics, Affiliated Union Hospital, Fujian Medical University, Fuzhou 350001, China.
Zhongguo Dang Dai Er Ke Za Zhi. 2010 Jun;12(6):421-4.
To evaluate the efficacy and safety of aripiprazole in the treatment of tic disorder when tiapride is used as a control.
Sixty-five children aged 6-14 years old with tic disorders were randomly assigned to two groups: aripiprazole (2.5-10 mg/d) and tiapride treatment (25- 400 mg/d). After 12 weeks treatment, the clinical efficacy was assessed by the Yale Global Tie Severity Scale (YGTSS) score and the adverse reactions were observed.
The YGTSS score in both groups decreased from the second week of treatment. Compared with the tiapride treatment group, the aripirazole treatment group showed a more decreased YGTSS score (29+/-13)% vs (16+/-14)%; P<0.01 by the second week of treatment. The overall effective rate in the aripiprazole and tiapride treatment groups was 91% and 84%, respectively (P>0.05) 12 weeks after treatment. There were no significant differences in the incidence of adverse reactions between the aripiprazole and tiapride treatment groups and no severe adverse events were found in either group.
Low dose aripiprazole is safe and effective for treatment of tic disorders in children, suggesting that it represents a new valid option for the treatment of tic disorder.
以硫必利作为对照,评估阿立哌唑治疗抽动障碍的疗效和安全性。
将65例6 - 14岁抽动障碍患儿随机分为两组:阿立哌唑组(2.5 - 10mg/d)和硫必利组(25 - 400mg/d)。治疗12周后,采用耶鲁综合抽动严重程度量表(YGTSS)评分评估临床疗效,并观察不良反应。
两组患儿YGTSS评分自治疗第2周起均下降。与硫必利治疗组相比,阿立哌唑治疗组YGTSS评分下降更明显(治疗第2周时分别为(29±13)%和(16±14)%;P<0.01)。治疗12周后,阿立哌唑组和硫必利组的总有效率分别为91%和84%(P>0.05)。阿立哌唑组与硫必利组不良反应发生率无显著差异,两组均未出现严重不良事件。
低剂量阿立哌唑治疗儿童抽动障碍安全有效,提示其为治疗抽动障碍的一种新的有效选择。