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抗精神病药物长期治疗精神分裂症患者期间的精神病理和锥体外系运动症状病程(作者译)

[Course of psychopathologic and extrapyramidal motor symptoms during long-term treatment of schizophrenic patients with psycholeptic drugs (author's transl)].

作者信息

Schilkrut R, Duran E, Haverbeck C, Katz I, Vidal P

出版信息

Arzneimittelforschung. 1978;28(9):1494-5.

PMID:38807
Abstract

65 chronic-schizophrenic outpatients were treated with fluphenazinedecanoate for 24 months. Hallucinations and delusions remitted between week 24 and 36, formal disturbances of thinking occurred in 50% of the patients up to the 24th week, mood disorders and disorders and schizophrenic changes in personality could only gradually be controlled. In the first 3 months of treatment the incidence and intensity of rigor grew up to the critical point after 24 weeks of treatment; by the 60th week of treatment it had completely vanished. Akathisia reached its peak after the first and the 36th week and two different populations could be distinguished. 8% of the patients showed dyskinetic reactions up to the 12th week; 20% of the patients showed hyper- and dyskinesia after 72 weeks of treatment. 30 to 40% of the patients required anticholinergics between the 12th and 48th weeks; after the 84th week this medication was no longer necessary.

摘要

65名慢性精神分裂症门诊患者接受了癸酸氟奋乃静治疗,为期24个月。幻觉和妄想在第24周和第36周之间有所缓解,高达50%的患者在第24周前出现思维形式障碍,情绪障碍以及人格方面的精神分裂症变化只能逐渐得到控制。在治疗的前3个月,僵直的发生率和严重程度逐渐上升,在治疗24周后达到临界点;到治疗第60周时,僵直已完全消失。静坐不能在第1周和第36周后达到高峰,且可区分出两类不同的人群。8%的患者在第12周前出现运动障碍反应;20%的患者在治疗72周后出现运动亢进和运动障碍。30%至40%的患者在第12周和第48周之间需要使用抗胆碱能药物;第84周后不再需要这种药物。

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