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Use of ketamine in acute cases of suicidality.氯胺酮在急性自杀倾向病例中的应用。
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本文引用的文献

1
The Effect of Intravenous Ketamine in Suicidal Ideation of Emergency Department Patients.静脉注射氯胺酮对急诊科患者自杀意念的影响。
Emerg (Tehran). 2014 Winter;2(1):36-9.
2
Acute antidepressant effects of intramuscular versus intravenous ketamine.肌肉注射与静脉注射氯胺酮的急性抗抑郁作用
Indian J Psychol Med. 2014 Jan;36(1):71-6. doi: 10.4103/0253-7176.127258.
3
Ketamine infusions for treatment resistant depression: a series of 28 patients treated weekly or twice weekly in an ECT clinic.氯胺酮输注治疗难治性抑郁症:在一家ECT诊所对28例患者进行每周一次或每周两次的治疗。
J Psychopharmacol. 2014 Jun;28(6):536-44. doi: 10.1177/0269881114527361. Epub 2014 Apr 3.
4
Ketamine as the prototype glutamatergic antidepressant: pharmacodynamic actions, and a systematic review and meta-analysis of efficacy.氯胺酮作为原型谷氨酸能抗抑郁药:药效学作用及疗效的系统评价与荟萃分析。
Ther Adv Psychopharmacol. 2014 Apr;4(2):75-99. doi: 10.1177/2045125313507739.
5
Do the dissociative side effects of ketamine mediate its antidepressant effects?氯胺酮的解离性副作用是否介导了其抗抑郁作用?
J Affect Disord. 2014 Apr;159:56-61. doi: 10.1016/j.jad.2014.02.017. Epub 2014 Feb 18.
6
Effects of ketamine on explicit and implicit suicidal cognition: a randomized controlled trial in treatment-resistant depression.氯胺酮对显性和隐性自杀认知的影响:一项针对难治性抑郁症的随机对照试验
Depress Anxiety. 2014 Apr;31(4):335-43. doi: 10.1002/da.22253. Epub 2014 Mar 25.
7
Oral ketamine augmentation for chronic suicidality in treatment-resistant depression.口服氯胺酮增效治疗难治性抑郁症中的慢性自杀倾向。
Aust N Z J Psychiatry. 2014 Jul;48(7):686. doi: 10.1177/0004867414520754. Epub 2014 Jan 22.
8
Antidepressant effects of ketamine: mechanisms underlying fast-acting novel antidepressants.氯胺酮的抗抑郁作用:快速起效新型抗抑郁药的潜在机制
Front Pharmacol. 2013 Dec 27;4:161. doi: 10.3389/fphar.2013.00161.
9
Mechanism of action of ketamine.氯胺酮的作用机制。
CNS Spectr. 2013 Aug;18(4):171-4. doi: 10.1017/S109285291300045X.
10
Replication of ketamine's antidepressant efficacy in bipolar depression: a randomized controlled add-on trial.双相抑郁中氯胺酮抗抑郁疗效的复制:一项随机对照附加试验。
Biol Psychiatry. 2012 Jun 1;71(11):939-46. doi: 10.1016/j.biopsych.2011.12.010. Epub 2012 Jan 31.

氯胺酮在急性自杀倾向病例中的应用。

Use of ketamine in acute cases of suicidality.

作者信息

Lee Jae, Narang Puneet, Enja Manasa, Lippmann Steven

机构信息

Dr. Lee is resident physician at Hennepin-Regions Psychiatry Program, Minneapolis-St. Paul, Minnesota; Dr. Narang is staff physician and ECT psychiatrist, Regions Hospital, Minneapolis- St. Paul, Minnesota; Dr. Enja is observer physician, University of Louisville School of Medicine, Louisville, Kentucky; and Dr. Lippmann is Professor of Psychiatry, University of Louisville School of Medicine, Louisville, Kentucky.

出版信息

Innov Clin Neurosci. 2015 Jan-Feb;12(1-2):29-31.

PMID:25852977
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4382138/
Abstract

Ketamine is an N-methyl-D- aspartate antagonist with rapid antidepressant effects. Research shows that ketamine has a fast onset of reduction in depressive symptoms and shows sustained remission of suicidal ideation in some patients. This article provides a brief review of the literature on the use of ketamine for depression and in acute cases of suicidality. The authors conclude that, while further investigation is needed, ketamine may be a useful treatment option for acute suicidality in emergency room settings.

摘要

氯胺酮是一种具有快速抗抑郁作用的N-甲基-D-天冬氨酸拮抗剂。研究表明,氯胺酮能快速减轻抑郁症状,且在一些患者中能持续缓解自杀意念。本文简要综述了关于氯胺酮用于治疗抑郁症及急性自杀倾向的文献。作者得出结论,虽然还需要进一步研究,但在急诊室环境中,氯胺酮可能是治疗急性自杀倾向的一种有效选择。