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抗胆碱能药物、多巴胺激动剂和抗精神病药物诱发的Ⅰ型迟发性运动障碍。

Type I tardive dyskinesia induced by anticholinergic drugs, dopamine agonists and neuroleptics.

作者信息

Chouinard G, Steinberg S

出版信息

Prog Neuropsychopharmacol Biol Psychiatry. 1982;6(4-6):571-8. doi: 10.1016/s0278-5846(82)80151-6.

Abstract
  1. Type I risk factor for tardive dyskinesia is defined as a risk leading primarily to a reversible form, while Type II factors to irreversible forms. 2. Central anticholinergic drugs appear as the prototype of Type I drug factor which increased the clinical manifestations of the disorder, but not its overall incidence. 3. Clinical investigations of dopamine agonists suggest an important role for them in clinical management and understanding of neuroleptic-induced supersensitivity disorder. 4. We would like to propose a new classification of neuroleptics. Type I neuroleptics (estrogens, diphenylbutylpiperidines) are associated with milder and reversible dyskinesia, while Type II (Classical neuroleptics) with severe and irreversible forms.
摘要
  1. 迟发性运动障碍的I型风险因素被定义为主要导致可逆形式的风险,而II型因素导致不可逆形式。2. 中枢抗胆碱能药物表现为I型药物因素的原型,它增加了该疾病的临床表现,但未增加其总体发病率。3. 多巴胺激动剂的临床研究表明它们在临床管理和理解抗精神病药物引起的超敏反应障碍中起重要作用。4. 我们想提出一种新的抗精神病药物分类。I型抗精神病药物(雌激素、二苯基丁基哌啶)与较轻且可逆的运动障碍相关,而II型(经典抗精神病药物)与严重且不可逆的形式相关。

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