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抗精神病药物、儿茶酚胺与精神病:它们的相互关系研究

Neuroleptics, catecholamines, and psychoses: a study of their interrelations.

作者信息

Van Praag H M, Korf J

出版信息

Am J Psychiatry. 1975 Jun;132(6):593-7. doi: 10.1176/ajp.132.6.593.

Abstract

The authors examined central catecholamine metabolism in various symptomatological psychotic disorders and the relationship between the biochemical and therapeutic action profiles of neuroleptics. Haloperidol and (to a lesser entent) chlorpromaziner icrease the dopamine (DA) turnover in the central nervous system, but the authors influenced; oxypertine has the reverse effect. The authors question whether disorders of DA-metabolism underlie or result from disorders of motor activity, postulating that the hyperdopaminergic activity observable in psychoses is dependent on motor hyperactivity rather than on "true" or psychotic symptoms such as delusions and hallucinations.

摘要

作者研究了各种症状性精神障碍中的中枢儿茶酚胺代谢以及抗精神病药物的生化作用谱与治疗作用谱之间的关系。氟哌啶醇以及(程度稍轻的)氯丙嗪会增加中枢神经系统中的多巴胺(DA)周转率,但作者受到影响;奥昔哌汀则有相反的作用。作者质疑DA代谢紊乱是运动活动紊乱的基础还是其结果,推测在精神病中可观察到的多巴胺能活动亢进依赖于运动亢进,而非依赖于妄想和幻觉等“真正的”或精神病性症状。

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