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可乐定与抗精神病药物联合治疗迟发性运动障碍:3例患者3年随访研究

Combined treatment of tardive dyskinesia with clonidine and neuroleptics: a follow-up study of three cases for three years.

作者信息

Nishikawa T, Tanaka M, Koga I, Uchida Y

出版信息

Psychopharmacology (Berl). 1983;80(4):374-5. doi: 10.1007/BF00432124.

DOI:10.1007/BF00432124
PMID:6137858
Abstract

Three cases of tardive dyskinesia with psychotic symptoms (one presenile psychosis; two schizophrenia) were successfully treated with both clonidine and neuroleptics for 3 years. The dyskinesia abolished or reduced by clonidine returned several months after discontinuation of clonidine. During the follow-up study, it was observed that combining neuroleptics with clonidine was superior to thioridazine, levomepromazine, or sulpiride for controlling the dyskinesia. These findings suggest that noradrenergic involvement is important in tardive dyskinesia and that other subtypes of dyskinesia might exist.

摘要

三例伴有精神病症状的迟发性运动障碍患者(一例早老性精神病;两例精神分裂症),同时使用可乐定和抗精神病药物成功治疗了3年。可乐定使运动障碍消失或减轻,但在停用可乐定几个月后又复发。在随访研究中,观察到抗精神病药物与可乐定联合使用在控制运动障碍方面优于硫利达嗪、左美丙嗪或舒必利。这些发现表明,去甲肾上腺素能参与在迟发性运动障碍中很重要,并且可能存在其他类型的运动障碍。

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1
Combined treatment of tardive dyskinesia with clonidine and neuroleptics: a follow-up study of three cases for three years.可乐定与抗精神病药物联合治疗迟发性运动障碍:3例患者3年随访研究
Psychopharmacology (Berl). 1983;80(4):374-5. doi: 10.1007/BF00432124.
2
Clonidine therapy for coexisting psychosis and tardive dyskinesia.可乐定治疗并存的精神病和迟发性运动障碍。
Am J Psychiatry. 1980 May;137(5):629-30. doi: 10.1176/ajp.137.5.629.
3
Clonidine therapy for tardive dyskinesia and related syndromes.
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Clonidine treatment of schizophrenia. Double-blind comparison to placebo and neuroleptic drugs.可乐定治疗精神分裂症。与安慰剂和抗精神病药物的双盲对照研究。
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[Never treated schizophrenic patients have no abnormal movements such as tardive dyskinesia].
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The use of clonidine in the treatment of neuroleptic-induced tardive dyskinesia.可乐定在治疗抗精神病药所致迟发性运动障碍中的应用。
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Involvement of adenosine receptor activities in aggressive responses produced by clonidine in mice.腺苷受体活性参与可乐定对小鼠产生的攻击反应。
Psychopharmacology (Berl). 1984;83(4):335-9. doi: 10.1007/BF00428541.
2
Biphasic and long-lasting effect of ceruletide on tardive dyskinesia.
Psychopharmacology (Berl). 1985;86(1-2):43-4. doi: 10.1007/BF00431682.

本文引用的文献

1
Preliminary trial of the noradrenergic agonist clonidine in psychiatric patients.
Biol Psychiatry. 1980 Feb;15(1):45-57.
2
Tourette's disorder and the use of clonidine.抽动秽语综合征与可乐定的使用。
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3
Enzyme studies in tardive dyskinesia. III. Noradrenergic hyperactivity in a subgroup of dyskinetic patients.迟发性运动障碍的酶学研究。III. 运动障碍患者亚组中的去甲肾上腺素能功能亢进。
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4
Differential effects of clonidine on alpha 1- and alpha 2-adrenoceptors in footshock-induced jumping behavior.可乐定对足部电击诱发跳跃行为中α1和α2肾上腺素能受体的不同作用。
Eur J Pharmacol. 1983 Apr 8;88(4):399-401. doi: 10.1016/0014-2999(83)90593-9.
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Clonidine treatment of schizophrenia. Double-blind comparison to placebo and neuroleptic drugs.可乐定治疗精神分裂症。与安慰剂和抗精神病药物的双盲对照研究。
Acta Psychiatr Scand. 1982 Jan;65(1):35-45. doi: 10.1111/j.1600-0447.1982.tb00819.x.
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Clonidine blocks acute opiate-withdrawal symptoms.可乐定可阻断急性阿片类药物戒断症状。
Lancet. 1978 Sep 16;2(8090):599-602. doi: 10.1016/s0140-6736(78)92823-4.
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Different alpha-adrenoreceptors in the central nervous system mediating biochemical and functional effects of clonidine and receptor blocking agents.中枢神经系统中不同的α-肾上腺素能受体介导可乐定和受体阻断剂的生化及功能效应。
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