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[急性精神分裂症发作的治疗。高剂量氟哌啶醇治疗与双组分治疗的比较]

[Therapy of acute schizophrenic attacks. High dosage haloperidol therapy compared with a two component treatment].

作者信息

Blaha L, Zenglein R, Wiedmayer J

出版信息

Fortschr Med. 1979 Jun 21;97(23):1095-1100.

PMID:456997
Abstract

In a controlled open study 18 patients were treated with high doses of haloperidol (Haldol-Janssen) from 50 to 100 mg daily and 15 patients with a combined therapy of 10 mg haloperidol and 150 to 300 mg levomepromazin (Neurocil). The high-dosed sample a significantly rapid decrease of the productive symptoms and improvement of the general condition were found. The medians of the rating scales and self-rating scales showed similar courses. Within the high-dosage group especially after the beginning of therapy, there was an unexpected significant increase in extrapyramidal signs (dyskinesias), which did not appear any more after starting with an initial dose of at least 50 mg Haldol-Janssen. Other side effects could not be found, the tolerance was good.

摘要

在一项对照开放性研究中,18名患者接受高剂量氟哌啶醇(氟哌啶醇-杨森)治疗,每日剂量为50至100毫克,15名患者接受10毫克氟哌啶醇与150至300毫克左美丙嗪(Neurocil)的联合治疗。在高剂量组中,发现生产性症状显著快速减轻,总体状况有所改善。评分量表和自评量表的中位数显示出相似的病程。在高剂量组中,尤其是在治疗开始后,锥体外系症状(运动障碍)意外显著增加,在开始使用至少50毫克氟哌啶醇-杨森的初始剂量后,这种症状不再出现。未发现其他副作用,耐受性良好。

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