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[苯二氮䓬类药物的差异疗法]

[Differential therapy with benzodiazepines].

作者信息

Rittmannsberger H

机构信息

Oberösterreichischen Landes-Nervenklinik Wagner-Jauregg, Linz.

出版信息

Wien Med Wochenschr. 1993;143(13):336-46.

PMID:7901946
Abstract

Benzodiazepines (BZ) are the most frequently prescribed psychotropic agents. Though most of today's BZ exert very similar clinical effects, there are considerable differences in their pharmacokinetics. Growing knowledge about the mode of action of BZ receptors will lead to a more sophisticated classification of BZ. Impairment of memory function and development of dependence are the most important side effects of BZ. The clinical significance of dependence on BZ is viewed controversially. In part this results from a confusion about the meaning of the term dependence. It is therefore important to distinguish between the different forms of dependence on BZ. Some recommendations for treatment with BZ are presented.

摘要

苯二氮䓬类药物(BZ)是最常被处方的精神药物。尽管如今大多数苯二氮䓬类药物具有非常相似的临床效果,但它们的药代动力学存在相当大的差异。对苯二氮䓬类受体作用方式的了解不断增加,将导致对苯二氮䓬类药物进行更精细的分类。记忆功能损害和依赖性形成是苯二氮䓬类药物最重要的副作用。对苯二氮䓬类药物产生依赖性的临床意义存在争议。部分原因是对“依赖性”一词含义的混淆。因此,区分对苯二氮䓬类药物的不同依赖形式很重要。本文还提出了一些使用苯二氮䓬类药物治疗的建议。

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