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丁二酸洛沙平治疗30例精神病状态的临床试验

[Clinical trial of loxapine succinate in the treatment of 30 cases of psychotic states].

作者信息

Escande M, Granier F, Gardes J P, Boscredon J, Concina M

出版信息

Ann Med Psychol (Paris). 1983 Mar;141(3):309-22.

PMID:6357022
Abstract

An open clinical study of loxapine succinate was developed on 30 hospitalized psychiatric patients in order to confirm its antipsychotic properties and its originality opposite the other major neuroleptics. Dosages ranged from 100 to 200 mg per day in 12 cases (40%), and more than 200 mg in serious psychosis or unamenable to therapeutic for which inferior dosages were inefficacious (11 cases). 56,7% of favourable results have been obtained, with a fair improvement of whole symptoms, paranoïd schizophrenic attack and acute delusions. Tolerance was remarkable: no neuro-vegetative manifestation was reported. The considerable sedative effect of loxapine had involved moderate and no invalidating drowsiness in 23% of cases. The extra-pyramidal occurring symptoms disappeared within 2 or 3 days. So loxapine succinate in proving to be a major first intention neuroleptic, suiting a considerable antipsychotic efficacy to a good tolerance, allowing new perspectives in the therapeutic and the approach of psychotic patients.

摘要

对30名住院精神科患者开展了一项关于琥珀酸洛沙平的开放性临床研究,以证实其抗精神病特性以及与其他主要抗精神病药物相比的独特性。12例患者(40%)的剂量为每日100至200毫克,对于严重精神病患者或对较低剂量治疗无效的患者,剂量超过200毫克(11例)。获得了56.7%的良好结果,整体症状、偏执型精神分裂症发作和急性妄想均有明显改善。耐受性良好:未报告有神经植物性表现。洛沙平的显著镇静作用在23%的病例中导致了中度且无失能性的嗜睡。锥体外系症状在2至3天内消失。因此,琥珀酸洛沙平被证明是一种主要的一线抗精神病药物,具有相当的抗精神病疗效和良好的耐受性,为精神病患者的治疗和处理带来了新的前景。

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