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长效抗精神病药物维持治疗期间的体重变化。

Weight changes with depot neuroleptic maintenance therapy.

作者信息

Johnson D A, Breen M

出版信息

Acta Psychiatr Scand. 1979 May;59(5):525-8. doi: 10.1111/j.1600-0447.1979.tb00252.x.

DOI:10.1111/j.1600-0447.1979.tb00252.x
PMID:463589
Abstract

A prospective study of schizophrenic patients prescribed injectable depot neuroleptic drugs as maintenance therapy showed a clinically significant weight gain in 55% of patients. No significant difference was shown between flupenthixol decanoate and fluphenazine decanoate, nor was a clinically meaningful relationship shown with dose, or the use of anti-parkinsonian drugs. The weight gain continued for at least 2 years following a mental state relapse. It is suggested that the monitoring of weight and giving of appropriate advice on diet are two essential in maintenance therapy of chronic schizophrenia.

摘要

一项针对使用长效注射抗精神病药物作为维持治疗的精神分裂症患者的前瞻性研究显示,55%的患者出现了具有临床意义的体重增加。癸酸氟哌噻吨和癸酸氟奋乃静之间未显示出显著差异,与剂量或抗帕金森药物的使用也未显示出具有临床意义的关系。在精神状态复发后,体重增加持续了至少2年。建议在慢性精神分裂症的维持治疗中,监测体重并提供适当的饮食建议是两个必不可少的方面。

相似文献

1
Weight changes with depot neuroleptic maintenance therapy.长效抗精神病药物维持治疗期间的体重变化。
Acta Psychiatr Scand. 1979 May;59(5):525-8. doi: 10.1111/j.1600-0447.1979.tb00252.x.
2
A depot neuroleptic withdrawal study. A controlled study of the clinical effects of the withdrawal of depot fluphenazine decanoate and depot flupenthixol decanoate in chronic schizophrenic patients.长效抗精神病药物撤药研究。一项关于慢性精神分裂症患者停用长效氟奋乃静癸酸酯和长效三氟噻吨癸酸酯临床效果的对照研究。
Acta Psychiatr Scand. 1981 Jul;64(1):65-84. doi: 10.1111/j.1600-0447.1981.tb00761.x.
3
A double-blind comparison of flupenthixol decanoate and fluphenazine decanoate in the treatment of chronic schizophrenia.癸酸氟哌噻吨与癸酸氟奋乃静治疗慢性精神分裂症的双盲比较
Acta Psychiatr Scand. 1979 Oct;60(4):313-22. doi: 10.1111/j.1600-0447.1979.tb00281.x.
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A depot neuroleptic withdrawal study. Plasma concentration of fluphenazine and flupenthixol and relapse frequency.
Psychopharmacology (Berl). 1982;78(4):301-4. doi: 10.1007/BF00433729.
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Comparison of antipsychotic depot injections in the maintenance treatment of schizophrenia.抗精神病长效注射剂在精神分裂症维持治疗中的比较
Br J Psychiatry. 1976 Nov;129:476-81. doi: 10.1192/bjp.129.5.476.
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Clinical and social comparison of fluphenazine decanoate and flupenthixol decanoate in the community maintenance therapy of schizophrenia.癸酸氟奋乃静与癸酸氟哌噻吨在精神分裂症社区维持治疗中的临床及社会比较
Int Pharmacopsychiatry. 1977;12(1):54-64. doi: 10.1159/000468286.
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A double-blind comparison of fluphenazine decanoate and flupenthixol decanoate in the treatment of acute schizophrenia.癸酸氟奋乃静与癸酸氟哌噻吨治疗急性精神分裂症的双盲对照研究。
Acta Psychiatr Scand. 1975 May;51(4):257-67. doi: 10.1111/j.1600-0447.1975.tb11092.x.
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An open clinical trial with the long-acting neuroleptics flupenthixol decanoate and fluphenazine decanoate in the maintenance treatment of schizophrenia.一项使用长效抗精神病药物癸酸氟奋乃静和癸酸氟哌噻吨进行精神分裂症维持治疗的开放性临床试验。
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Depot injections and tardive dyskinesia.长效注射剂与迟发性运动障碍
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Neuroleptic serum levels measured by radioreceptor assay in patients receiving intramuscular depot neuroleptics. Some preliminary findings.通过放射受体分析法测定接受肌肉注射长效抗精神病药物患者的抗精神病药物血清水平。一些初步发现。
Br J Psychiatry. 1985 Apr;146:439-42. doi: 10.1192/bjp.146.4.439.

引用本文的文献

1
Changes in body weight and psychotropic drugs: a systematic synthesis of the literature.体重变化与精神类药物:文献系统综述。
PLoS One. 2012;7(6):e36889. doi: 10.1371/journal.pone.0036889. Epub 2012 Jun 15.