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[新型抗帕金森药物司来吉兰对人体精神运动表现的影响]

[The effect of a new antiparkinson agent, Selegilin, on psychomotor performance in humans].

作者信息

Müller-Limmroth W

出版信息

Arzneimittelforschung. 1985;35(6):998-1002.

PMID:3927932
Abstract

A combination of tests consisting of a compensation task with differential value indication, a tachystoscopic arrangement with verbal identification of characteristic features and an arrangement for a visually induced motor reaction was carried out on 12 healthy volunteers aged from 20-30 to determine psychomotor efficiency under the influence of the new antiparkinson drug selegiline (Eldepryl). The results were compared with the effects of the psychostimulant fenetylline and the depressant-antihistamine chlorphenoxamine, and with a placebo. While fenetylline and chlorphenoxamine produced the anticipated effects with regard to an improvement or deterioration in performance in all parameters, selegiline resulted in a slightly longer motor reaction time and an increase in control errors, and in a significantly longer mental processing time. In comparison with the placebo, selegiline increased the motor reaction time by 0.8 +/- 1.95% and mental processing time by 4.1 +/- 1.7%. This depressant effect of selegiline, however, only attained 1/8 and 2/3, resp., of the sedative effect of the normal dose of the antihistamine chlorophenoxamine. Under the influence of chlorphenoxamine, performance becomes less regular and under fenetylline more regular. Selegiline does not differ significantly from the placebo. In spite of selegiline metabolites 1-metamphetamine and 1-amphetamine, which act as mild stimulants, the slightly depressant effect of selegiline detected can be explained by the increased effect of dopamine inhibitory neurons, particularly in the inhibitory system of the formatio reticularis and the cortex frontalis as a result of a concentration of dopamine.

摘要

对12名年龄在20至30岁之间的健康志愿者进行了一系列测试,包括具有差异值指示的补偿任务、带有特征特征言语识别的速视镜装置以及视觉诱发运动反应的装置,以确定新型抗帕金森药物司来吉兰( Eldepryl)影响下的精神运动效率。将结果与精神兴奋药非尼茶碱和抑制性抗组胺药氯苯那敏的效果以及安慰剂进行比较。虽然非尼茶碱和氯苯那敏在所有参数的表现改善或恶化方面产生了预期效果,但司来吉兰导致运动反应时间略长、控制误差增加,并且精神处理时间显著延长。与安慰剂相比,司来吉兰使运动反应时间增加了0.8±1.95%,精神处理时间增加了4.1±1.7%。然而,司来吉兰的这种抑制作用仅分别达到正常剂量抗组胺药氯苯那敏镇静作用的1/8和2/3。在氯苯那敏的影响下,表现变得不太规律,而在非尼茶碱的影响下则更规律。司来吉兰与安慰剂没有显著差异。尽管司来吉兰的代谢产物1-甲基苯丙胺和1-苯丙胺具有轻度兴奋作用,但检测到的司来吉兰的轻微抑制作用可以解释为多巴胺抑制性神经元的作用增强,特别是在网状结构和额叶皮质的抑制系统中,这是由于多巴胺浓度增加所致。

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