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喜得镇治疗老年精神障碍

Hydergine in senile mental impairment.

作者信息

Loew D M, Weil C

出版信息

Gerontology. 1982;28(1):54-74. doi: 10.1159/000212511.

Abstract

Among gerontopsychiatric drugs, Hydergine is pharmacologically characterized by agonist action at central dopamine and serotonin receptors. This review presents a summary of the results obtained with Hydergine in numerous controlled trials in patients with senile mental impairment. Assessment was carried out by means of a rating scale (mainly the Sandoz Clinical Assessment Geriatric, or SCAG, scale), psychometric tests (e.g. the Nuremberg Geriatric Inventory, or NGI), and the EEG. Hydergine also lowers serum prolactin, though a correlation with clinical improvement has not been established as yet. In the discussion, the need for objective, measurable and precise indicators in gerontopsychiatry is stressed.

摘要

在老年精神科药物中,喜得镇的药理学特征是对中枢多巴胺和5-羟色胺受体具有激动作用。本文综述了喜得镇在老年精神障碍患者的众多对照试验中所取得的结果。采用评分量表(主要是山德士老年临床评定量表,即SCAG量表)、心理测试(如纽伦堡老年量表,即NGI)以及脑电图进行评估。喜得镇还可降低血清催乳素水平,不过尚未证实其与临床改善之间存在相关性。在讨论中,强调了老年精神科中客观、可测量且精确指标的必要性。

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