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皮质类固醇疗法的精神科并发症

Psychiatric complications of corticosteroid therapy.

作者信息

Ismail K, Wessely S

机构信息

Department of Psychotherapy, Maudsley Hospital, Denmark Hill, London.

出版信息

Br J Hosp Med. 1995;53(10):495-9.

PMID:7640807
Abstract

Despite limited evidence, the general consensus is that corticosteroids can cause psychiatric complications, mainly depression. This is most noticeable in high doses or in medical conditions with neuropsychiatric sequelae. The prognosis is usually good if corticosteroids are discontinued, but further study of the prevalence of psychiatric reactions, their mechanism of action and appropriate treatment is necessary.

摘要

尽管证据有限,但普遍的共识是皮质类固醇会引发精神并发症,主要是抑郁症。这在高剂量使用或患有神经精神后遗症的病症中最为明显。如果停用皮质类固醇,预后通常良好,但有必要进一步研究精神反应的发生率、作用机制及适当的治疗方法。

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