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瑞波西汀治疗注意缺陷多动障碍患者的系统评价

A systematic review of reboxetine for treating patients with attention deficit hyperactivity disorder.

作者信息

Ghanizadeh Ahmad

机构信息

Ahmad Ghanizadeh, M.D., Research Center for Psychiatry and Behavioral Sciences, Shiraz University of Medical Sciences, School of Medicine, Department of Neuroscience, School of Advanced Medical Sciences and Technologies, Hafez Hospital, Shiraz, and Department of Psychiatry, Shiraz University of Medical Sciences, School of Medicine, Hafez Hospital , Shiraz , Iran.

出版信息

Nord J Psychiatry. 2015 May;69(4):241-8. doi: 10.3109/08039488.2014.972975. Epub 2014 Nov 21.

Abstract

BACKGROUND

No published systematic review has ever assessed the efficacy and safety of reboxetine for treating of patients with attention deficit hyperactivity disorder (ADHD).

AIM

This systematic review aimed to review the available evidence regarding the efficacy of reboxetine for treating ADHD.

METHOD

The databases of Pubmed/Medline, Google scholar, SCOPUS and Web of Science were searched using the Keywords: "reboxetine", "ADHD" and "attention deficit hyperactivity disorder". The reference lists of the included studies were screened to find any possible other relevant articles. All the non-controlled and controlled clinical trials were included.

RESULTS

The current evidence mainly consists of un-controlled studies, such as case series. Only three of 33 studies were controlled clinical trials. They are from single sites and included a sub-sample of patients with ADHD.

CONCLUSION

Non-controlled studies and controlled trials support the promising effect of reboxetine for treating ADHD in a sub-sample of patients that are without co-morbid psychiatric disorder and mental retardation. Reboxetine is tolerated well. However, more controlled trials are needed to reach any firm conclusion.

摘要

背景

尚无已发表的系统评价评估瑞波西汀治疗注意缺陷多动障碍(ADHD)患者的疗效和安全性。

目的

本系统评价旨在综述有关瑞波西汀治疗ADHD疗效的现有证据。

方法

使用关键词“瑞波西汀”、“ADHD”和“注意缺陷多动障碍”检索PubMed/Medline、谷歌学术、SCOPUS和科学网数据库。对纳入研究的参考文献列表进行筛选,以查找任何可能的其他相关文章。纳入所有非对照和对照临床试验。

结果

目前的证据主要包括非对照研究,如病例系列。33项研究中只有3项为对照临床试验。这些研究来自单一研究地点,纳入了ADHD患者的一个子样本。

结论

非对照研究和对照试验支持瑞波西汀对无共病精神障碍和智力障碍的ADHD患者子样本治疗有显著效果。瑞波西汀耐受性良好。然而,需要更多的对照试验才能得出任何确切结论。

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