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多奈哌齐在自闭症中的作用:其在心理药物治疗中的适用性。

Role of donepezil in autism: its conduciveness in psychopharmacotherapy.

作者信息

Srivastava Rohit Kant, Agarwal Medhavi, Pundhir Ashish

机构信息

Department of Psychiatry, Rohilkhand Medical College, Bareilly, Uttar Pradesh 243006, India.

出版信息

Case Rep Psychiatry. 2011;2011:563204. doi: 10.1155/2011/563204. Epub 2011 Nov 17.

DOI:10.1155/2011/563204
PMID:22937405
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3420777/
Abstract

A woman consulted psychiatric Out-Patient Department (OPD) for her 5-year and 2-month-old son presenting with typical autistic symptoms like social, behavioural, and communicational ineptitudeness. Subsequent treatment with Donepezil resulted in marked improvement in the aforementioned symptomatology. Recent studies in autistic child have shown diminished acetylcholine and nicotinic receptor activity, thus an acetylcholinergic enhancer, Donepezil, likely accounts for improvement in autistic symptoms. Evidently, the case report consolidates Donepezil role as a potentially useful agent in the treatment of cognitive and behavioural symptoms observed in this disorder.

摘要

一名女性带着她5岁2个月大的儿子前往精神科门诊,孩子表现出典型的自闭症症状,如社交、行为和沟通能力不足。随后使用多奈哌齐进行治疗,上述症状有显著改善。最近针对自闭症儿童的研究表明,乙酰胆碱和烟碱受体活性降低,因此,一种乙酰胆碱能增强剂多奈哌齐可能是自闭症症状改善的原因。显然,该病例报告证实了多奈哌齐在治疗该疾病中所观察到的认知和行为症状方面具有潜在的治疗作用。

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本文引用的文献

1
Safety and efficacy of donepezil in children and adolescents with autism: neuropsychological measures.多奈哌齐在自闭症儿童和青少年中的安全性与有效性:神经心理学测量
J Child Adolesc Psychopharmacol. 2011 Feb;21(1):43-50. doi: 10.1089/cap.2010.0024.
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Autism.自闭症
Lancet. 2009 Nov 7;374(9701):1627-38. doi: 10.1016/S0140-6736(09)61376-3. Epub 2009 Oct 12.
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Autism spectrum disorders: clinical and research frontiers.自闭症谱系障碍:临床与研究前沿
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The epidemiology of autism spectrum disorders.自闭症谱系障碍的流行病学
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Drug therapy for attention-deficit/hyperactivity disorder-like symptoms in autistic disorder.用于治疗孤独症谱系障碍中类似注意缺陷/多动障碍症状的药物疗法。
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Pervasive developmental disorders in Montreal, Quebec, Canada: prevalence and links with immunizations.加拿大魁北克省蒙特利尔市的广泛性发育障碍:患病率及其与免疫接种的关联
Pediatrics. 2006 Jul;118(1):e139-50. doi: 10.1542/peds.2005-2993.
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A retrospective open trial of adjunctive donepezil in children and adolescents with autistic disorder.一项针对患有自闭症谱系障碍的儿童及青少年使用多奈哌齐辅助治疗的回顾性开放性试验。
J Child Adolesc Psychopharmacol. 2002 Fall;12(3):237-41. doi: 10.1089/104454602760386923.
8
What to measure in autism drug trials.自闭症药物试验中要测量的内容。
J Autism Dev Disord. 2001 Jun;31(3):361-2. doi: 10.1023/a:1017339106682.
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Cholinergic activity in autism: abnormalities in the cerebral cortex and basal forebrain.自闭症中的胆碱能活性:大脑皮层和基底前脑的异常。
Am J Psychiatry. 2001 Jul;158(7):1058-66. doi: 10.1176/appi.ajp.158.7.1058.
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Adverse effects associated with the use of donepezil in general practice in England.在英国全科医疗中使用多奈哌齐相关的不良反应。
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