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氟哌啶醇一日剂量所致锥体外系副作用(作者译)

[Extrapyamidal side-effects with 1-day dosage of haloperidol (author's transl)].

作者信息

Matzner G, Uriarte V, Rüther E

出版信息

Arzneimittelforschung. 1978;28(9):1496-7.

PMID:383097
Abstract

In a double blind study, 30 in-patients (14 females, 16 males, ranging in the age from 18 to 55) suffering from an acute paranoid-hallucinatory syndrome, were treated with haloperidol for 30 days. 13 patients (3-day group) received 3 times a day 3 mg haloperidol (at 8 a.m., 12 a.m,, 5 p.m.) and 17 patients received 9 mg haloperidol only in the evening (9 p.m., 1-day group). Placebo instead of medication was given at the same time to the control group. Every 5 days the following assessments were performed: AMP 3 and 4, Webster and Simpson rating scales, handwriting tests according to Haase and psychometric tests according to Schoppe. In the 1-day dosage group the amount of anticholinergics were significantly reduced (2.4 mg biperiden/day compared to 4.6 mg/day in the 3-day group). The 1 daily application of neuroleptics is useful in treating acute psychosis. This treatment schedule has the advantages of sedation during the night, reduction of side-effects during the day, simpler and cheaper application form and induction of social activity.

摘要

在一项双盲研究中,30名患有急性偏执幻觉综合征的住院患者(14名女性,16名男性,年龄在18至55岁之间)接受了30天的氟哌啶醇治疗。13名患者(3天组)每天3次服用3毫克氟哌啶醇(上午8点、中午12点、下午5点),17名患者仅在晚上(晚上9点,1天组)服用9毫克氟哌啶醇。对照组同时给予安慰剂而非药物。每5天进行以下评估:AMP 3和4、韦伯斯特和辛普森评定量表、根据哈泽进行的笔迹测试以及根据朔佩进行的心理测量测试。在1天剂量组中,抗胆碱能药物的用量显著减少(每天2.4毫克苯海索,而3天组为每天4.6毫克)。每天一次应用抗精神病药物对治疗急性精神病有效。这种治疗方案具有夜间镇静、白天副作用减少、应用形式更简单且更便宜以及促进社交活动的优点。

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