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戒酒硫在酒精中毒治疗中的应用。第1部分:短期疗效的安慰剂对照双盲临床试验。

Calcium carbimide in alcoholism treatment. Part 1: A placebo-controlled, double-blind clinical trial of short-term efficacy.

作者信息

Peachey J E, Annis H M, Bornstein E R, Sykora K, Maglana S M, Shamai S

出版信息

Br J Addict. 1989 Aug;84(8):877-87. doi: 10.1111/j.1360-0443.1989.tb00760.x.

DOI:10.1111/j.1360-0443.1989.tb00760.x
PMID:2673441
Abstract

A randomized, double-blind, placebo-controlled single cross-over study of the alcohol sensitizing drug, calcium carbimide (CC), was conducted in 128 patients with alcohol dependence. Seventy-one (55%) completed the 4-month study. Patients reported drinking and pill-taking behaviour, and submitted urines (for analysis of alcohol and the tablet marker riboflavin) on 97%, and 91% of treatment days, respectively. All of the 69 analyzable completers were abstinent on at least 85% of days, and 58% (40) were alcohol-free during the study. Medications were taken on at least 85% of days. Symptoms and adverse clinical findings were not increased in frequency during CC, compared to placebo. Seventy-eight per cent of the patients believed they had received CC throughout the study, suggesting that CC exerts a strong psychological deterrent effect. Alcohol consumption was significantly reduced to the same extent with CC and placebo, compared to pre-treatment levels.

摘要

对128例酒精依赖患者进行了一项关于酒精增敏药物卡马咪嗪(CC)的随机、双盲、安慰剂对照单交叉研究。71例(55%)完成了为期4个月的研究。患者分别在97%和91%的治疗日报告饮酒和服药行为,并提交尿液(用于分析酒精和片剂标记物核黄素)。69例可分析的完成者在至少85%的日子里戒酒,58%(40例)在研究期间完全戒酒。至少85%的日子里服用了药物。与安慰剂相比,服用CC期间症状和不良临床发现的频率没有增加。78%的患者认为他们在整个研究过程中服用的是CC,这表明CC具有很强的心理威慑作用。与治疗前水平相比,CC和安慰剂使酒精摄入量均显著降低至相同程度。

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Calcium carbimide in alcoholism treatment. Part 1: A placebo-controlled, double-blind clinical trial of short-term efficacy.戒酒硫在酒精中毒治疗中的应用。第1部分:短期疗效的安慰剂对照双盲临床试验。
Br J Addict. 1989 Aug;84(8):877-87. doi: 10.1111/j.1360-0443.1989.tb00760.x.
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Calcium carbimide in alcoholism treatment. Part 2: Medical findings of a short-term, placebo-controlled, double-blind clinical trial.戒酒硫在酒精中毒治疗中的应用。第2部分:一项短期、安慰剂对照、双盲临床试验的医学研究结果。
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引用本文的文献

1
Medications for Treating Alcoholism.治疗酒精中毒的药物
Alcohol Health Res World. 1994;18(4):265-271.
2
Cyanamide-induced aplastic anemia.氰胺诱发的再生障碍性贫血。
Eur J Clin Pharmacol. 2005 Jul;61(5-6):467-9. doi: 10.1007/s00228-005-0954-1. Epub 2005 Jul 1.
3
Recommended drug treatment strategies for the alcoholic patient.针对酒精成瘾患者的推荐药物治疗策略。
Drugs. 1998 Oct;56(4):571-85. doi: 10.2165/00003495-199856040-00005.