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丁螺环酮与地西泮治疗焦虑症的疗效比较

The comparative efficacy of buspirone and diazepam in the treatment of anxiety.

作者信息

Goldberg H L, Finnerty R J

出版信息

Am J Psychiatry. 1979 Sep;136(9):1184-7. doi: 10.1176/ajp.136.9.1184.

Abstract

In this double-blind study, 56 adult psychoneurotic outpatients with a primary diagnosis of anxiety neurosis were randomly assigned to receive buspirone (N = 18), diazepam (N = 20), or placebo (N = 18) over a four-week period. A battery of tests administered weekly indicated that buspirone, a new agent not chemically related to any currently marketed drugs, was as effective an antianxiety agent as diazepam and produced no more and perhaps fewer side effects. Buspirone showed excellent antidepressant effects as well. If further studies confirm the authors' findings and determine that buspirone does not result in tolerance and addiction, it would be more advantageous than the benzodiazepines in the treatment of anxiety.

摘要

在这项双盲研究中,56名初步诊断为焦虑症神经症的成年精神神经症门诊患者被随机分配,在四周时间内接受丁螺环酮(N = 18)、地西泮(N = 20)或安慰剂(N = 18)治疗。每周进行的一系列测试表明,丁螺环酮作为一种与目前市场上任何药物在化学上均无关联的新药,是一种与地西泮效果相当的抗焦虑药物,且产生的副作用不多,甚至可能更少。丁螺环酮还显示出极佳的抗抑郁效果。如果进一步的研究证实了作者的发现,并确定丁螺环酮不会导致耐受性和成瘾性,那么在治疗焦虑症方面,它将比苯二氮䓬类药物更具优势。

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