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大剂量抗精神病药物:非对照临床实践证实了对照临床试验的结果。

High-dose neuroleptics: uncontrolled clinical practice confirms controlled clinical trials.

作者信息

Bollini P, Andreani A, Colombo F, Bellantuono C, Beretta P, Arduini A, Galli T, Tognoni G

出版信息

Br J Psychiatry. 1984 Jan;144:25-7. doi: 10.1192/bjp.144.1.25.

DOI:10.1192/bjp.144.1.25
PMID:6692073
Abstract

The strategy of high-dose intramuscular haloperidol as routinely applied in a general hospital psychiatric ward to 74 successive patients, 33 of whom stayed only up to seven days, and a further 34 up to 15 days, led to a complete recovery in only six, and complete lack of change in 23. Adverse reactions were recorded in 42, severe enough to stop treatment in eight; there were three deaths. In view of this risk-benefit analysis, systematic application of this high dose strategy to get a more rapid turnover of patients is unjustified.

摘要

在一家综合医院精神科病房,对74例连续患者常规应用大剂量肌肉注射氟哌啶醇的策略,其中33例仅住院7天,另外34例住院15天。结果仅有6例完全康复,23例毫无变化。42例出现不良反应,严重到足以导致8例停止治疗;有3例死亡。鉴于这种风险效益分析,为了更快地周转患者而系统应用这种高剂量策略是不合理的。

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High-dose neuroleptics: uncontrolled clinical practice confirms controlled clinical trials.大剂量抗精神病药物:非对照临床实践证实了对照临床试验的结果。
Br J Psychiatry. 1984 Jan;144:25-7. doi: 10.1192/bjp.144.1.25.
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引用本文的文献

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Treatment of acute and transient psychotic disorders with low and high doses of oral haloperidol.低、高剂量口服氟哌啶醇治疗急性和短暂性精神病性障碍。
Indian J Psychiatry. 1997 Apr;39(2):136-42.
2
Serum concentrations and clinical effect of zuclopenthixol in acutely disturbed, psychotic patients treated with zuclopenthixol acetate in Viscoleo.
Psychopharmacology (Berl). 1986;90(3):412-6. doi: 10.1007/BF00179201.