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精神分裂症患者中氟哌啶醇的红细胞和血浆水平与临床反应

RBC and plasma levels of haloperidol and clinical response in schizophrenia.

作者信息

Smith R C, Vroulis G, Shvartsburd A, Allen R, Lewis N, Schoolar J C, Chojnacki M, Johnson R

出版信息

Am J Psychiatry. 1982 Aug;139(8):1054-6. doi: 10.1176/ajp.139.8.1054.

Abstract

The authors conducted a fixed-dose study of haloperidol blood levels and clinical response in schizophrenic in patients and found that those with steady-state RBC haloperidol levels in the range of 2.4--5.4 ng/ml showed greater improvement than those with lower or higher levels. They found a similar , although nonsignificant, curvilinear relationship between plasma haloperidol levels and clinical response. These findings suggest that the relationship between haloperidol blood levels and clinical response fits a therapeutic window for the treatment of schizophrenia.

摘要

作者对精神分裂症患者进行了一项关于氟哌啶醇血药浓度与临床反应的固定剂量研究,发现稳态红细胞中氟哌啶醇水平在2.4--5.4 ng/ml范围内的患者比水平较低或较高的患者改善更明显。他们还发现血浆氟哌啶醇水平与临床反应之间存在类似的曲线关系,尽管不显著。这些发现表明氟哌啶醇血药浓度与临床反应之间的关系符合精神分裂症治疗的治疗窗。

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