Calne D B, Teychenne P F, Claveria L E, Eastman R, Greenacre J K, Petrie A
Br Med J. 1974 Nov 23;4(5942):442-4. doi: 10.1136/bmj.4.5942.442.
Bromocriptine, a drug acting directly upon dopaminergic receptors, has been found to have a significant therapeutic action in a double-blind study of 20 patients with idiopathic Parkinsonism who were already receiving conventional therapy, including levodopa. Neurological deficits improved by almost 20% in severely disabled patients; amelioration of mildly affected patients was about 10%. Adverse reactions were similar to those encountered with levodopa-they were all dose-dependent and reversible. These observations are discussed in relation to certain theoretical advantages which might be expected from a drug which acts directly on dopaminergic receptors.
溴隐亭是一种直接作用于多巴胺能受体的药物,在一项针对20名已接受包括左旋多巴在内的常规治疗的特发性帕金森病患者的双盲研究中,发现它具有显著的治疗作用。在严重残疾患者中,神经功能缺损改善了近20%;轻度受影响患者的改善约为10%。不良反应与左旋多巴相似——它们均与剂量相关且可逆。结合一种直接作用于多巴胺能受体的药物可能具有的某些理论优势对这些观察结果进行了讨论。