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氯氮平与氟哌啶醇治疗慢性精神分裂症的交叉研究。

A crossover study of clocapramine and haloperidol in chronic schizophrenia.

作者信息

Yamagami S

出版信息

J Int Med Res. 1985;13(6):301-10. doi: 10.1177/030006058501300601.

Abstract

Therapeutic efficacy and target symptoms with clocapramine were compared with those with haloperidol by the crossover method, in a total of 26 chronic schizophrenic patients, by administration of one of the drugs for the first 14 weeks and the other for the next 14 weeks. The final global improvement rating showed no significant difference between the two groups, but clocapramine administered as first drug appeared to have a more pronounced effect than haloperidol. According to the improvement rate in psychotic symptoms, clocapramine tended to be superior to haloperidol for motor retardation, scanty speech and disturbance of thought. In addition the frequency of side-effects was lower with clocapramine than with haloperidol. Neither the side-effects nor abnormal laboratory test results were severe enough to terminate the trial. Clocapramine is considered to be equivalent or superior to haloperidol in terms of anti-psychotic effect in chronic schizophrenia, and is relatively safer than haloperidol.

摘要

采用交叉试验法,对26例慢性精神分裂症患者比较了氯卡帕明与氟哌啶醇的治疗效果及靶症状。先给予其中一种药物治疗14周,然后换用另一种药物治疗14周。最终的总体改善评分显示两组间无显著差异,但作为第一种药物给予的氯卡帕明似乎比氟哌啶醇有更明显的效果。根据精神症状的改善率,氯卡帕明在运动迟缓、言语减少和思维紊乱方面往往优于氟哌啶醇。此外,氯卡帕明的副作用发生率低于氟哌啶醇。副作用和实验室检查异常结果均未严重到足以终止试验。在慢性精神分裂症的抗精神病作用方面,氯卡帕明被认为与氟哌啶醇相当或更优,且比氟哌啶醇相对更安全。

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