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帕金森病中的抗胆碱能戒断与苯海索治疗

Anticholinergic withdrawal and benzhexol treatment in Parkinson's disease.

作者信息

Horrocks P M, Vicary D J, Rees J E, Parkes J D, Marsden C D

出版信息

J Neurol Neurosurg Psychiatry. 1973 Dec;36(6):936-41. doi: 10.1136/jnnp.36.6.936.

DOI:10.1136/jnnp.36.6.936
PMID:4772727
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1083593/
Abstract

The effects of slow withdrawal of anticholinergic medication and addition of benzhexol (8 mg/day) have been studied in patients with Parkinson's disease on stable levodopa therapy. Withdrawal of anticholinergic drugs led to measurable and often severe deterioration in about two-thirds of patients. Addition of benzhexol produced a slight but definite additional improvement in those patients in whom anticholinergics were withdrawn before the trial. Anticholinergic drugs thus still have a part to play in the treatment of Parkinson's disease, for they produce benefit in addition to that provided by levodopa.

摘要

在接受稳定左旋多巴治疗的帕金森病患者中,研究了抗胆碱能药物缓慢撤药及加用苄托品(8毫克/天)的效果。停用抗胆碱能药物导致约三分之二的患者出现可测量且往往较为严重的病情恶化。对于那些在试验前停用抗胆碱能药物的患者,加用苄托品产生了轻微但明确的额外改善。因此,抗胆碱能药物在帕金森病的治疗中仍有作用,因为它们除了左旋多巴所提供的益处外,还能产生额外疗效。

相似文献

1
Anticholinergic withdrawal and benzhexol treatment in Parkinson's disease.帕金森病中的抗胆碱能戒断与苯海索治疗
J Neurol Neurosurg Psychiatry. 1973 Dec;36(6):936-41. doi: 10.1136/jnnp.36.6.936.
2
Levodopa in Parkinsonism: the effects of withdrawal of anticholinergic drugs.左旋多巴治疗帕金森病:抗胆碱能药物撤药的影响
Br Med J. 1971 May 29;2(5760):487-91. doi: 10.1136/bmj.2.5760.487.
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Comparative trial of benzhexol, amantadine, and levodopa in the treatment of Parkinson's disease.苯海索、金刚烷胺和左旋多巴治疗帕金森病的对比试验。
J Neurol Neurosurg Psychiatry. 1974 Apr;37(4):422-6. doi: 10.1136/jnnp.37.4.422.
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Levodopa and anticholinergic drugs in Parkinsonism.左旋多巴与抗胆碱能药物治疗帕金森病
Br Med J. 1971 Jun 26;2(5764):773-4. doi: 10.1136/bmj.2.5764.773-d.
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Treatment of Parkinson's syndrome with L dihydroxyphenylalanine (levodopa).用左旋多巴治疗帕金森综合征。
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[Comparative value of L-dopa, amantadine, anticholinergics, and their combinations in parkinsonian syndromes].
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引用本文的文献

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Relative sparing of dopaminergic terminals in the caudate nucleus is a feature of rest tremor in Parkinson's disease.尾状核中多巴胺能终末相对保留是帕金森病静止性震颤的一个特征。
NPJ Parkinsons Dis. 2024 Nov 18;10(1):209. doi: 10.1038/s41531-024-00818-8.
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Anticholinergic drugs for parkinsonism and other movement disorders.抗胆碱能药物治疗帕金森病和其他运动障碍。
J Neural Transm (Vienna). 2024 Dec;131(12):1481-1494. doi: 10.1007/s00702-024-02799-7. Epub 2024 Jun 21.
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Anticholinergics for symptomatic management of Parkinson's disease.用于帕金森病症状管理的抗胆碱能药物。
Cochrane Database Syst Rev. 2003;2002(2):CD003735. doi: 10.1002/14651858.CD003735.
4
Neuropsychiatric adverse effects of antiparkinsonian drugs. Characteristics, evaluation and treatment.抗帕金森病药物的神经精神不良反应。特征、评估与治疗。
Drugs Aging. 1997 May;10(5):367-83. doi: 10.2165/00002512-199710050-00005.
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A risk-benefit assessment of drugs used in the management of Parkinson's disease.帕金森病治疗用药的风险效益评估
Drug Saf. 1994 Aug;11(2):94-103. doi: 10.2165/00002018-199411020-00004.
6
Anti-parkinsonian drugs today.当今的抗帕金森病药物。
Drugs. 1984 Sep;28(3):236-62. doi: 10.2165/00003495-198428030-00002.
7
Current drug therapy for Parkinson's disease. A review.
Drugs Aging. 1992 Mar-Apr;2(2):112-24. doi: 10.2165/00002512-199202020-00005.
8
L-dopa and carbidopa (sinemet) in the management of parkinsonism.左旋多巴与卡比多巴(息宁)在帕金森病治疗中的应用
Postgrad Med J. 1975 Sep;51(599):619-21. doi: 10.1136/pgmj.51.599.619.

本文引用的文献

1
Levodopa in Parkinsonism: the effects of withdrawal of anticholinergic drugs.左旋多巴治疗帕金森病:抗胆碱能药物撤药的影响
Br Med J. 1971 May 29;2(5760):487-91. doi: 10.1136/bmj.2.5760.487.
2
Antiparkinsonian drugs: inhibition of dopamine uptake in the corpus striatum as a possible mechanism of action.抗帕金森病药物:抑制纹状体中多巴胺摄取作为一种可能的作用机制。
Science. 1969 Nov 14;166(3907):899-901. doi: 10.1126/science.166.3907.899.
3
Treatment of Parkinson's disease with levodopa combined with L-alpha-methyldopahydrazine, an inhibitor of extracerebral DOPA decarboxylase.左旋多巴联合脑外多巴脱羧酶抑制剂L-α-甲基多巴肼治疗帕金森病。
J Neurol Neurosurg Psychiatry. 1973 Feb;36(1):10-4. doi: 10.1136/jnnp.36.1.10.