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抗胆碱能药物在抗精神病药所致帕金森综合征的长期治疗中是否不可或缺?一项撤药研究(作者译)

[Are anticholinergics indispensable in the long-term therapy of neuroleptic-induced Parkinson syndrome? A withdrawal study (author's transl)].

作者信息

Fleischhauer J

出版信息

Arzneimittelforschung. 1976;26(6):1183-4.

PMID:786315
Abstract

53 patients with a neuroleptic-induced parkinson syndrome were suddenly withdrawn from their antiparkinson medication without changes in neuroleptic medication. All but 10 patients had been given antiparkinson drugs for more than 1 year. Slight and constant deterioration in their condition occurred in 4 female patients within 1-3 weeks following withdrawal. The neuroleptic dose was increased in 7 patients, a slight transient deterioration of the parkinson symptoms occurring in 2 cases. Investigation into the longitudinal course of the disease revealed that the intensity of symptoms is not always steady, but that certain variations occur. Our results confirm similar available studies in that the incidence of relapses in cases of neuroleptically conditioned Parkinson's disease is very low in patients with anti-parkinson medication for long period; this incidence of relapses amounts to 8% in our study.

摘要

53例患有抗精神病药物所致帕金森综合征的患者突然停用抗帕金森药物,而抗精神病药物剂量不变。除10例患者外,其余患者服用抗帕金森药物均超过1年。停药后1 - 3周内,4例女性患者病情出现轻微且持续恶化。7例患者增加了抗精神病药物剂量,其中2例帕金森症状出现轻微短暂恶化。对该疾病纵向病程的调查显示,症状强度并非始终稳定,而是会出现一定变化。我们的结果证实了现有类似研究,即长期服用抗帕金森药物的抗精神病药物所致帕金森病患者复发率很低;在我们的研究中,这一复发率为8%。

相似文献

1
[Are anticholinergics indispensable in the long-term therapy of neuroleptic-induced Parkinson syndrome? A withdrawal study (author's transl)].抗胆碱能药物在抗精神病药所致帕金森综合征的长期治疗中是否不可或缺?一项撤药研究(作者译)
Arzneimittelforschung. 1976;26(6):1183-4.
2
Open withdrawal of antiparkinson drugs in the neuroleptic- induced Parkinson syndrome.在抗精神病药物所致帕金森综合征中停用抗帕金森病药物
Int Pharmacopsychiatry. 1975;10(4):222-9. doi: 10.1159/000468198.
3
Lack of indication for use of antiparkinson medication. A follow-up study.抗帕金森药物使用指征缺失:一项随访研究
Dis Nerv Syst. 1971 Aug;32(8):538-41.
4
Neuroleptic induced extrapyramidal symptoms.抗精神病药物所致锥体外系症状
Dis Nerv Syst. 1976 Nov;37(11):629-35.
5
[Experience with the use of midantan for treatment and prevention of the neuroleptic syndrome].[使用米丹坦治疗和预防抗精神病药物综合征的经验]
Zh Nevropatol Psikhiatr Im S S Korsakova. 1973;73(8):1218-23.
6
[Treatment of Parkinson's syndrome using a new preparation from the series of tricyclic psychotropic drugs].[使用三环类精神药物系列中的一种新制剂治疗帕金森综合征]
Med Welt. 1975 Aug 22;26(33-34):1457-62.
7
Neuroleptic-induced parkinsonism and Parkinson's disease: differential diagnosis and treatment.抗精神病药物所致帕金森综合征与帕金森病:鉴别诊断与治疗
J Clin Psychiatry. 1983 Jan;44(1):13-6.
8
Amantadine versus trihexyphenidyl in the treatment of neuroleptic-induced parkinsonism.金刚烷胺与苯海索治疗抗精神病药所致帕金森综合征的对比研究
Am J Psychiatry. 1976 Aug;133(8):940-3. doi: 10.1176/ajp.133.8.940.
9
[Therapy of drug induced parkinsonism].[药物性帕金森综合征的治疗]
Lakartidningen. 1976 Feb 11;73(7):511-4.
10
A double-blind comparison of the efficacy of EX 10-029 and trihexyphenidyl hydrochloride in relieving drug-induced Parkinsonian symptoms.EX 10-029与盐酸苯海索缓解药物性帕金森症状疗效的双盲比较。
Curr Ther Res Clin Exp. 1972 Aug;14(8):470-7.

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1
Updated Perspectives on the Management of Drug-Induced Parkinsonism (DIP): Insights from the Clinic.药物性帕金森综合征(DIP)管理的最新观点:来自临床的见解
Ther Clin Risk Manag. 2022 Dec 20;18:1129-1142. doi: 10.2147/TCRM.S360268. eCollection 2022.