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注意缺陷障碍与哌甲酯:对儿童心血管功能剂量反应效应的多步骤分析

Attention deficit disorder and methylphenidate: a multi-step analysis of dose-response effects on children's cardiovascular functioning.

作者信息

Kelly K L, Rapport M D, DuPaul G J

机构信息

Department of Psychiatry, State University of New York, Stony Brook 11794.

出版信息

Int Clin Psychopharmacol. 1988 Apr;3(2):167-81. doi: 10.1097/00004850-198804000-00007.

DOI:10.1097/00004850-198804000-00007
PMID:3294285
Abstract

The present study investigated the effects of methylphenidate (MPH) on the resting heart rate of 47 children with Attention Deficit Disorder/Hyperactivity. Children participated in a double-blind, placebo control, within subject (cross-over) design and received each of 5 doses of MPH in a counterbalanced sequence. A multi-step analysis was used to examine the dose-response relationship, contribution of pre-stimulus levels of HR (i.e. the initial value), and potential interaction between dosage and time on resting HR. Results indicated that higher dosages are linearly related to increasing levels of HR and that these effects are dependent upon both the initial HR value and the time course of the medication.

摘要

本研究调查了哌甲酯(MPH)对47名患有注意力缺陷多动障碍儿童静息心率的影响。儿童参与了一项双盲、安慰剂对照、受试者内(交叉)设计,并以平衡序列接受了5种剂量的MPH。采用多步分析来检验剂量反应关系、心率预刺激水平(即初始值)的贡献以及剂量与时间对静息心率的潜在相互作用。结果表明,较高剂量与心率水平的增加呈线性相关,且这些影响取决于初始心率值和药物的时间进程。

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The Effect of Methylphenidate and Atomoxetine on Heart Rate and Systolic Blood Pressure in Young People and Adults with Attention-Deficit Hyperactivity Disorder (ADHD): Systematic Review, Meta-Analysis, and Meta-Regression.哌甲酯和托莫西汀对患有注意缺陷多动障碍(ADHD)的年轻人和成年人的心率和收缩压的影响:系统评价、荟萃分析和荟萃回归。
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