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患者长期使用地西泮、苯巴比妥或安慰剂治疗期间脑电图、血液水平、情绪量表及表现评分的变化。

Changes in EEG, blood levels, mood scales and performance scores during long term treatment with diazepam, phenobarbital or placebo in patients.

作者信息

Schwarz E, Kielholz P, Hobi V, Goldberg L, Hofstetter M, Ladewig D

出版信息

Prog Neuropsychopharmacol Biol Psychiatry. 1982;6(3):249-63. doi: 10.1016/s0278-5846(82)80175-9.

Abstract
  1. The patient population consisting of fifteen patients was divided into three groups, namely: diazepam group, phenobarbital group and placebo group. After three weeks the medicated groups were switched to placebo for a week and the placebo group was given phenobarbital. 2. The parameters to be assessed once a week comprised frequency-analyzed EEG recordings, performance in two attention tests and subjectively estimated mood modalities. 3. The EEG analysis suggested that EEG patterns: a) were drug-dependent, with a differential distribution for each drug of the four frequency bands analyzed; b) showed no change during the three-week treatment period; c) changed on cessation of medication or on switch from placebo to active medication; d) were task-dependent and changed in a systematic way with the level of activation (stress, vigilance or relaxation). 4. The results would allow a better understanding of the clinical course, the choice of therapeutic measures and of the underlying mechanisms of action.
摘要
  1. 由15名患者组成的患者群体被分为三组,即:地西泮组、苯巴比妥组和安慰剂组。三周后,用药组改用安慰剂一周,而安慰剂组则给予苯巴比妥。2. 每周评估一次的参数包括经频率分析的脑电图记录、两项注意力测试中的表现以及主观评估的情绪状态。3. 脑电图分析表明,脑电图模式:a)取决于药物,在所分析的四个频段中每种药物的分布都有所不同;b)在为期三周的治疗期间没有变化;c)在停药时或从安慰剂改为活性药物时发生变化;d)取决于任务,并随着激活水平(压力、警觉或放松)以系统的方式发生变化。4. 这些结果将有助于更好地理解临床过程、治疗措施的选择以及潜在的作用机制。

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