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氯美噻唑(海米那)与氯氮䓬(利眠宁)治疗急性酒精戒断的比较。

Comparison of chlormethiazole (Heminevrin) and chlordiazepoxide (Librium) in the treatment of acute alcohol withdrawal.

作者信息

Lapierre Y D, Bulmer D R, Oyewumi L K, Mauguin M L, Knott V J

出版信息

Neuropsychobiology. 1983;10(2-3):127-30. doi: 10.1159/000117998.

DOI:10.1159/000117998
PMID:6674819
Abstract

This study was carried out to compare the efficacy of chlormethiazole and chlordiazepoxide in the treatment of acute alcohol withdrawal syndrome in 40 patients. Repeated biochemical, clinical, and psychophysiological measurements were obtained in a randomized, double-blind design in which one group of patients received chlormethiazole and a second group received chlordiazepoxide over a period of 7 days. Analysis indicated both drugs to be of equivalent potency and were equally well tolerated by patients. The more severe aspects of withdrawal were brought under control within the first 4 days of treatment. However, even at 7 days, there still persisted some symptoms attributable to the withdrawal from alcohol.

摘要

本研究旨在比较氯美噻唑和氯氮䓬治疗40例急性酒精戒断综合征患者的疗效。采用随机双盲设计,对患者进行反复的生化、临床及心理生理测量,一组患者接受氯美噻唑治疗,另一组接受氯氮䓬治疗,为期7天。分析表明两种药物效力相当,患者耐受性也相同。戒断较严重的症状在治疗的前4天内得到控制。然而,即使在7天时,仍存在一些因戒酒所致的症状。

相似文献

1
Comparison of chlormethiazole (Heminevrin) and chlordiazepoxide (Librium) in the treatment of acute alcohol withdrawal.氯美噻唑(海米那)与氯氮䓬(利眠宁)治疗急性酒精戒断的比较。
Neuropsychobiology. 1983;10(2-3):127-30. doi: 10.1159/000117998.
2
[Treatment of an alcoholic pre-delirium syndrome with chlormethiazol, methophenazin and chlordiazepoxide].[用氯美噻唑、甲砜吩嗪和氯氮䓬治疗酒精性谵妄前期综合征]
Psychiatr Neurol Med Psychol (Leipz). 1980 Feb;32(2):80-6.
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[Deaths associated with chlomethiazole (Heminevrin) therapy].[与氯美噻唑(海米那)治疗相关的死亡病例]
Duodecim. 1975;91(21):1319-25.
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The frequency of delirium tremens and chlormethiazole (Heminevrin).
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Individualized treatment for alcohol withdrawal. A randomized double-blind controlled trial.酒精戒断的个体化治疗。一项随机双盲对照试验。
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[Patients with alcohol problems in the internal medicine hospital. II].[内科医院中存在酒精问题的患者。II]
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Is clonidine useful in the treatment of alcohol withdrawal?可乐定对治疗酒精戒断有效吗?
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Cardiac arrest following chlormethiazole infusion in chronic alcoholics.慢性酒精中毒患者静脉输注氯美噻唑后发生心脏骤停。
Postgrad Med J. 1980 Oct;56(660):742-3. doi: 10.1136/pgmj.56.660.742.
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[Piracetam in the treatment of alcohol-induced delirium].
MMW Munch Med Wochenschr. 1983 Oct 21;125(42):947-9.

引用本文的文献

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Beyond benzodiazepines: a meta-analysis and narrative synthesis of the efficacy and safety of alternative options for alcohol withdrawal syndrome management.超越苯二氮䓬类药物:酒精戒断综合征管理替代方案的疗效和安全性的荟萃分析和叙述性综合。
Eur J Clin Pharmacol. 2023 Sep;79(9):1147-1157. doi: 10.1007/s00228-023-03523-2. Epub 2023 Jun 28.
2
Anticonvulsants for alcohol withdrawal.用于酒精戒断的抗惊厥药。
Cochrane Database Syst Rev. 2010 Mar 17(3):CD005064. doi: 10.1002/14651858.CD005064.pub3.
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Benzodiazepines for alcohol withdrawal.
用于酒精戒断的苯二氮䓬类药物。
Cochrane Database Syst Rev. 2010 Mar 17(3):CD005063. doi: 10.1002/14651858.CD005063.pub3.
4
Managing alcohol withdrawal in the elderly.老年人酒精戒断的管理
Drugs Aging. 1999 Jun;14(6):409-25. doi: 10.2165/00002512-199914060-00002.
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Meta-analysis of benzodiazepine use in the treatment of acute alcohol withdrawal.苯二氮䓬类药物用于治疗急性酒精戒断的荟萃分析。
CMAJ. 1999 Mar 9;160(5):649-55.