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抑郁症患者的五种抗抑郁治疗。对尿中血清素和5-羟吲哚乙酸排出量的影响。

Five antidepressant treatments in depressed patients. Effects on urinary serotonin and 5-hydroxyindoleacetic acid output.

作者信息

Linnoila M, Miller T L, Bartko J, Potter W Z

出版信息

Arch Gen Psychiatry. 1984 Jul;41(7):688-92. doi: 10.1001/archpsyc.1984.01790180058007.

DOI:10.1001/archpsyc.1984.01790180058007
PMID:6203496
Abstract

The 24-hour urinary serotonin (5-HT) and 5-hydroxyindoleacetic acid (5-HIAA) outputs were repeatedly measured in 21 patients with major affective disorders after a minimum of three weeks free of drug treatments and at steady state during subsequent antidepressant treatments or during the second week after a series of electroconvulsive treatments (ECTs). The 5-HIAA outputs were more variable over time than the outputs of major catecholamine metabolites, previously studied by us. Patients with rapid mood cycles excreted large amounts of 5-HT. Lithium carbonate and ECTs reduced the outputs of 5-HT and 5-HIAA, respectively. Lithium carbonate also stabilized the output of 5-HT. No common effect of different antidepressant treatments on indole outputs was found.

摘要

在21例重度情感障碍患者中,在至少停药三周后以及后续抗抑郁治疗稳定期或一系列电休克治疗(ECT)后的第二周,反复测量其24小时尿中血清素(5-HT)和5-羟吲哚乙酸(5-HIAA)的排出量。与我们之前研究的主要儿茶酚胺代谢产物的排出量相比,5-HIAA的排出量随时间变化更大。情绪快速循环的患者排出大量的5-HT。碳酸锂和ECT分别降低了5-HT和5-HIAA的排出量。碳酸锂还稳定了5-HT的排出量。未发现不同抗抑郁治疗对吲哚排出量有共同影响。

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引用本文的文献

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Lithium versus antidepressants in the long-term treatment of unipolar affective disorder.锂盐与抗抑郁药在单相情感障碍长期治疗中的比较
Cochrane Database Syst Rev. 2006 Oct 18;2006(4):CD003492. doi: 10.1002/14651858.CD003492.pub2.
2
Platelet serotonin transport after a single ECT.单次电休克治疗后的血小板5-羟色胺转运
Psychopharmacology (Berl). 1988;95(1):139-41. doi: 10.1007/BF00212783.
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Lithium and serotonin function: implications for the serotonin hypothesis of depression.锂与血清素功能:对抑郁症血清素假说的启示
Psychopharmacology (Berl). 1990;100(1):3-12. doi: 10.1007/BF02245781.