Stocchi F, Ruggieri S, Antonini A, Baronti F, Brughitta G, Bellantuono P, Bravi D, Agnoli A
Department of Neurology, University of Rome La Sapienza, Italy.
J Neural Transm Suppl. 1988;27:27-33. doi: 10.1007/978-3-7091-8954-2_4.
The continuous dopaminergic stimulation provided by infusion of dopamine agonist drugs, is a very effective strategy to control ON-OFF fluctuation in Parkinson's disease. Lisuride is a potent dopamine agonist drug, very soluble in water and can be administered subcutaneously. Many authors have shown that the subcutaneous infusion of lisuride can control fluctuations when applied in combination with oral levodopa as a 24 hour continuous infusion regimen. In this study, lisuride was given without any other antiparkinsonian medicament and using a 12 hour infusion regimen wherever possible. 13 fluctuating Parkinsonian patients were studied. 6 out of these 13 were satisfactory treated with lisuride alone and the remaining 7 with a combination of Lisuride + oral levodopa. Only in 3 out of 13 patients the 24 hour infusion regimen was required.
通过输注多巴胺激动剂药物提供持续的多巴胺能刺激,是控制帕金森病开关波动的一种非常有效的策略。利苏瑞肽是一种强效多巴胺激动剂药物,极易溶于水,可皮下给药。许多作者表明,利苏瑞肽皮下输注与口服左旋多巴联合应用,采用24小时持续输注方案时,可控制波动。在本研究中,不使用任何其他抗帕金森药物给予利苏瑞肽,并尽可能采用12小时输注方案。对13例有波动的帕金森病患者进行了研究。这13例患者中,6例单用利苏瑞肽治疗效果满意,其余7例采用利苏瑞肽+口服左旋多巴联合治疗。13例患者中只有3例需要24小时输注方案。