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苯二氮䓬类药物的使用与滥用。

Use and abuse of benzodiazepines.

出版信息

Bull World Health Organ. 1983;61(4):551-62.

PMID:6605211
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2536139/
Abstract

Benzodiazepines are widely used for the treatment of anxiety, insomnia, and certain neuromuscular and convulsive disorders. However, their widespread availability has given rise to fears that they are over-prescribed. The problem is compounded by the fact that there is no universal agreement among medical practitioners as to the clinical indications warranting the use of these drugs. Although most industrialized countries exercise control over the sale and manufacture of benzodiazepines, many developing countries do not have sufficient control of these drugs. As a result, information on drug utilization and associated problems is difficult to obtain and there is a lack of comparative data on drug consumption in different countries.The present article describes the current knowledge on the pharmacological, clinical, and epidemiological characteristics of benzodiazepines, and the problems associated with their use, and indicates areas where more research is needed. Recommendations are made for future work.

摘要

苯二氮䓬类药物被广泛用于治疗焦虑症、失眠症以及某些神经肌肉和惊厥性疾病。然而,它们的广泛可得性引发了人们对其处方过量的担忧。由于执业医师对于使用这些药物的临床指征尚未达成普遍共识,这一问题变得更加复杂。尽管大多数工业化国家对苯二氮䓬类药物的销售和生产实行管控,但许多发展中国家对这些药物的管控不足。因此,关于药物使用及相关问题的信息难以获取,并且缺乏不同国家药物消费的比较数据。本文描述了目前关于苯二氮䓬类药物的药理、临床和流行病学特征以及与其使用相关问题的知识,并指出了需要更多研究的领域。同时为未来的工作提出了建议。

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1
Use and abuse of benzodiazepines.苯二氮䓬类药物的使用与滥用。
Bull World Health Organ. 1983;61(4):551-62.
2
Anxiety disorders and the use and abuse of drugs.焦虑症与药物的使用和滥用
J Clin Psychiatry. 1989 Nov;50 Suppl:30-5.
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[Dependence on benzodiazepines. Clinical and biological aspects].[对苯二氮䓬类药物的依赖。临床与生物学方面]
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Benzodiazepines prescription in Dakar: a study about prescribing habits and knowledge in general practitioners, neurologists and psychiatrists.达喀尔地区苯二氮䓬类药物的处方:一项关于全科医生、神经科医生和精神科医生处方习惯与知识的研究。
Fundam Clin Pharmacol. 2006 Jun;20(3):235-8. doi: 10.1111/j.1472-8206.2006.00400.x.
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Abuse of benzodiazepines: the problems and the solutions. A report of a Committee of the Institute for Behavior and Health, Inc.苯二氮䓬类药物的滥用:问题与解决方案。行为与健康研究所委员会报告
Am J Drug Alcohol Abuse. 1988;14 Suppl 1:1-69.
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[Benzodiazepines to people with substance abuse problems?].[给有药物滥用问题的人使用苯二氮䓬类药物?]
Tidsskr Nor Laegeforen. 2010 Mar 25;130(6):610-2. doi: 10.4045/tidsskr.09.0687.
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Identification and treatment of benzodiazepine abuse.苯二氮䓬类药物滥用的识别与治疗。
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