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甲磺酸培高利特治疗帕金森病和进行性核上性麻痹的对照试验。

Controlled trial of pergolide mesylate in Parkinson's disease and progressive supranuclear palsy.

作者信息

Jankovic J

出版信息

Neurology. 1983 Apr;33(4):505-7. doi: 10.1212/wnl.33.4.505.

DOI:10.1212/wnl.33.4.505
PMID:6339985
Abstract

We evaluated pergolide in 22 patients with Parkinson's disease and 3 with progressive supranuclear palsy (PSP). After achieving an optimal dose of pergolide and Sinemet, a matching placebo was substituted in double-blind manner. The mean dose of levodopa (in Sinemet) was reduced by 68%; in eight patients, pergolide completely replaced levodopa. In parkinsonian patients, the mean Hoehn-Yahr stage decreased from 3.2 to 1.6, and the mean total disability score decreased from 48.3 to 17.8. In 10 patients with on-off phenomenon, the time on increased 174% with pergolide. There was little effect in PSP. Postural light-headedness and reversible mental changes were seen.

摘要

我们对22例帕金森病患者和3例进行性核上性麻痹(PSP)患者使用培高利特进行了评估。在达到培高利特和息宁的最佳剂量后,以双盲方式替换为匹配的安慰剂。左旋多巴(在息宁中)的平均剂量降低了68%;在8例患者中,培高利特完全替代了左旋多巴。在帕金森病患者中,平均Hoehn-Yahr分期从3.2降至1.6,平均总残疾评分从48.3降至17.8。在10例有开关现象的患者中,使用培高利特后开期时间增加了174%。在PSP患者中效果甚微。出现了体位性头晕和可逆性精神改变。

相似文献

1
Controlled trial of pergolide mesylate in Parkinson's disease and progressive supranuclear palsy.甲磺酸培高利特治疗帕金森病和进行性核上性麻痹的对照试验。
Neurology. 1983 Apr;33(4):505-7. doi: 10.1212/wnl.33.4.505.
2
A multicenter double-blind placebo-controlled trial of pergolide as an adjunct to Sinemet in Parkinson's disease.一项关于培高利特作为帕金森病左旋多巴/卡比多巴辅助用药的多中心双盲安慰剂对照试验。
Mov Disord. 1994 Jan;9(1):40-7. doi: 10.1002/mds.870090107.
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Double-blind trial of pergolide for Parkinson's disease.培高利特治疗帕金森病的双盲试验。
Neurology. 1985 Mar;35(3):291-5. doi: 10.1212/wnl.35.3.291.
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Double-blind controlled study of pergolide mesylate as an adjunct to Sinemet in the treatment of Parkinson's disease.甲磺酸培高利特作为息宁辅助药物治疗帕金森病的双盲对照研究。
Adv Neurol. 1987;45:555-60.
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The use of pergolide, a potent dopamine agonist, in Parkinson's disease.强力多巴胺激动剂培高利特在帕金森病中的应用。
Clin Pharmacol Ther. 1982 Jul;32(1):70-5. doi: 10.1038/clpt.1982.128.
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[Clinical study of pergolide in Parkinson's disease].培高利特治疗帕金森病的临床研究
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Current and future treatments in progressive supranuclear palsy.进行性核上性麻痹的当前及未来治疗方法
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Progressive supranuclear palsy: clinical features, pathophysiology and management.
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Drugs Aging. 2001;18(12):913-25. doi: 10.2165/00002512-200118120-00003.
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Pergolide. A review of its pharmacological properties and therapeutic potential in Parkinson's disease.培高利特。其药理特性及在帕金森病中的治疗潜力综述。
Drugs. 1990 Mar;39(3):491-506. doi: 10.2165/00003495-199039030-00009.
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Treatment of progressive supranuclear palsy with methysergide. A clinical study.
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