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醋酸珠氯噻醇与氟哌啶醇治疗急性精神病:比利时多中心研究中AMDP亚组的结果

[Zuclopenthixol acetate and haloperidol in acute psychoses. Results of the AMDP subgroup in a multicenter Belgian study].

作者信息

Bourdouxhe S, Mirel J, Denys W, Bobon D

出版信息

Acta Psychiatr Belg. 1987 Mar-Apr;87(2):236-44.

PMID:3618274
Abstract

The efficacy of i.m. cis(Z)-clopenthixol in aggressive, agitated and delusional patients is well established but it necessitates, as for all other parenteral neuroleptics, several injections daily. Zuclopenthixol acetate is the first injectable neuroleptic characterized simultaneously by a short latency of action (2-3 h) and by a long duration of action (2-3 days). Within the frame of a Belgian multicentre study of zuclopenthixol acetate and haloperidol, a group of French-speaking psychiatrists added the AMDP scales to the basic protocol. The results of this AMDP subsample of 20 Acetate vs. 13 Haloperidol patients do not allow the demonstration of statistically significant differences between both neuroleptics because of the smallness and unbalance of the sample, but they indicate that both antipsychotics are very active and that a comprehensive rating scale such as the AMDP gives a much better differentiated clinical picture of a new drug than the total scores of short, so-called "economical" rating scales.

摘要

肌肉注射顺式(Z)-氯哌噻吨对躁狂、激越和妄想患者的疗效已得到充分证实,但与所有其他胃肠外神经阻滞剂一样,需要每日多次注射。醋酸珠氯噻醇是第一种具有起效潜伏期短(2 - 3小时)和作用持续时间长(2 - 3天)双重特点的可注射神经阻滞剂。在比利时一项关于醋酸珠氯噻醇和氟哌啶醇的多中心研究框架内,一组说法语的精神科医生在基本方案中增加了AMDP量表。由于样本量小且不均衡,该AMDP子样本中20例使用醋酸珠氯噻醇患者与13例使用氟哌啶醇患者的结果无法证明两种神经阻滞剂之间存在统计学上的显著差异,但结果表明两种抗精神病药物都非常有效,并且像AMDP这样的综合评定量表比简短的所谓“经济型”评定量表的总分能更清晰地区分新药的临床情况。

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