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根据早期反应预测抗精神病药物治疗的结果。

Predicting outcome of antipsychotic drug treatment from early response.

作者信息

May P R, Van Putten T, Yale C

出版信息

Am J Psychiatry. 1980 Sep;137(9):1088-9. doi: 10.1176/ajp.137.9.1088.

DOI:10.1176/ajp.137.9.1088
PMID:7425161
Abstract

The authors gave 48 newly admitted schizophrenic patients an initial test dose (2.2 mg/kg) of chlorpromazine hydrochloride and additional doses at 24 and 36 hours. Clinical response was measured at 48 hours and at the end of subsequent treatment with a fixed dose (6.6 mg/kg) of chlorpromazine. There was a consistent correlation between 48-hour change and the eventual amount of improvement by the end of drug treatment for all 10 outcome criteria. The authors conclude that change early on in drug treatment is a useful predictor of outcome.

摘要

作者给48名新入院的精神分裂症患者初始剂量(2.2毫克/千克)的盐酸氯丙嗪,并在24小时和36小时给予额外剂量。在48小时时以及随后用固定剂量(6.6毫克/千克)的氯丙嗪治疗结束时测量临床反应。对于所有10项结果标准,48小时时的变化与药物治疗结束时最终的改善程度之间存在一致的相关性。作者得出结论,药物治疗早期的变化是结果的一个有用预测指标。

相似文献

1
Predicting outcome of antipsychotic drug treatment from early response.根据早期反应预测抗精神病药物治疗的结果。
Am J Psychiatry. 1980 Sep;137(9):1088-9. doi: 10.1176/ajp.137.9.1088.
2
Subjective response as a predictor of outcome in pharmacotherapy: the consumer has a point.主观反应作为药物治疗结果的预测指标:患者有其道理。
Arch Gen Psychiatry. 1978 Apr;35(4):477-80. doi: 10.1001/archpsyc.1978.01770280087009.
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Chlorpromazine levels and the outcome of treatment in schizophrenic patients.氯丙嗪水平与精神分裂症患者的治疗结果
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Predicting outcome of neuroleptic treatment on the basis of subjective response and early clinical improvement.基于主观反应和早期临床改善预测抗精神病药物治疗的结果。
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引用本文的文献

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Early Markers in Resistant Schizophrenia: Effect of the First Antipsychotic Drug.难治性精神分裂症的早期标志物:第一种抗精神病药物的影响
Diagnostics (Basel). 2022 Mar 25;12(4):803. doi: 10.3390/diagnostics12040803.
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Socio-demographic correlates of treatment response among patients with schizophrenia in a tertiary hospital in South-East Nigeria.尼日利亚东南部一家三级医院精神分裂症患者治疗反应的社会人口学相关因素
Afr Health Sci. 2016 Dec;16(4):1036-1044. doi: 10.4314/ahs.v16i4.21.
3
Is treatment-resistant schizophrenia categorically distinct from treatment-responsive schizophrenia? a systematic review.
难治性精神分裂症与反应性精神分裂症在类别上有明显区别吗?一项系统综述。
BMC Psychiatry. 2017 Jan 13;17(1):12. doi: 10.1186/s12888-016-1177-y.
4
Unanswered questions in schizophrenia clinical trials.精神分裂症临床试验中的未解决问题。
Schizophr Bull. 2008 Mar;34(2):302-9. doi: 10.1093/schbul/sbm143. Epub 2008 Jan 16.
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Genetics of schizophrenia: from animal models to clinical studies.精神分裂症的遗传学:从动物模型到临床研究
J Psychiatry Neurosci. 2002 Sep;27(5):336-47.
6
Developmental and neurologic correlates of treatment response in schizophrenia.精神分裂症治疗反应的发育和神经学关联
J Psychiatry Neurosci. 1992 Mar;17(1):15-22.