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劳拉西泮、奥沙西泮和替马西泮作为老年精神科住院患者助眠药物的疗效及副作用

Efficacy and side effects of lorazepam, oxazepam, and temazepam as sleeping aids in psychogeriatric inpatients.

作者信息

Linnoila M, Viukari M, Lamminsivu U, Auvinen J

出版信息

Int Pharmacopsychiatry. 1980;15(2):129-35. doi: 10.1159/000468424.

Abstract

The efficacy and side effects of 2 mg of lorazepam, 30 mg of oxazepam, and 20 mg of temazepam as sleeping aids were investigated in 20 psychogeriatric inpatients. The drugs were administered in a random order, double-blind, for 7 night each. All of these short half-life benzodiazepines proved efficacious in maintaining sleep. None of them reduced initial sleep latency. Oxazepam and to a lesser degree temazepam induced withdrawal insomnia during the first night after the treatments. The withdrawal of lorazepam induced a delayed but prolonged insomnia in 3 patients. Both lorazepam and oxazepam had muscle relaxant side effects after awakening.

摘要

对20名老年精神病住院患者研究了2毫克劳拉西泮、30毫克奥沙西泮和20毫克替马西泮作为助眠药物的疗效及副作用。这些药物以随机顺序、双盲方式给药,每种药物各服用7晚。所有这些短效苯二氮䓬类药物在维持睡眠方面均被证明有效。它们均未缩短初始睡眠潜伏期。奥沙西泮以及程度稍轻的替马西泮在治疗后的第一晚引发了撤药失眠。停用劳拉西泮后,3名患者出现了延迟但持续时间较长的失眠。劳拉西泮和奥沙西泮在醒来后均有肌肉松弛的副作用。

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