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地昔帕明治疗注意力缺陷多动障碍疗效及安全性的系统评价

A systematic review of the efficacy and safety of desipramine for treating ADHD.

作者信息

Ghanizadeh Ahmad

机构信息

Research Center for Psychiatry and Behavioral Sciences, Department of Psychiatry, Shiraz University of Medical Sciences, Hafez Hospital, Shiraz, Iran.

出版信息

Curr Drug Saf. 2013 Jul;8(3):169-74. doi: 10.2174/15748863113089990029.

Abstract

This review article systematically and critically summarizes the current evidence regarding desipramine for treating children and adolescents with attention deficit hyperactivity disorder (ADHD). PRISMA guideline was used for gathering the data. The databases of PubMed/Medline and Google scholar were electronically searched. This review included controlled clinical trials investigating the efficacy of desipramine for treating children and adolescents with ADHD. The primary outcome measure was clinical improvement measured by valid and reliable objective instruments in order to assess the severity of ADHD clinical symptoms. Adverse effects were evaluated as well. Out of 267 titles under the study, thirty three articles mentioned desipramine for treating ADHD. Two trials met the inclusion criteria. Desipramine decreases ADHD clinical symptoms. However, there are many concerns about its safety and efficacy. In view of serious concerns about its safety and lack of enough well-controlled trials providing strong evidence about the efficacy of desipraimine, it should be prescribed for treating children with ADHD with a high precaution, and further well-controlled trials should be performed.

摘要

这篇综述文章系统且批判性地总结了当前有关去甲丙咪嗪治疗儿童和青少年注意力缺陷多动障碍(ADHD)的证据。采用PRISMA指南收集数据。通过电子检索PubMed/Medline数据库和谷歌学术。这篇综述纳入了研究去甲丙咪嗪治疗儿童和青少年ADHD疗效的对照临床试验。主要结局指标是通过有效且可靠的客观工具测量的临床改善情况,以评估ADHD临床症状的严重程度。同时也对不良反应进行了评估。在该研究的267篇标题中,有33篇文章提到了去甲丙咪嗪治疗ADHD。两项试验符合纳入标准。去甲丙咪嗪可减轻ADHD临床症状。然而,其安全性和疗效存在诸多问题。鉴于对其安全性的严重担忧以及缺乏足够的严格对照试验来提供去甲丙咪嗪疗效的确凿证据,在治疗患有ADHD的儿童时应高度谨慎地使用该药物,并且应开展进一步的严格对照试验。

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