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苯二氮䓬类药物的长期使用与认知缺陷主诉:一项风险因素研究。

Chronic use of benzodiazepines and cognitive deficit complaints: a risk factor study.

作者信息

Chaves M L, Bianchin M, Peccin S, Rotta F, Jardim C, Gianlupi A, Eidt L

机构信息

Neurology Service, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.

出版信息

Ital J Neurol Sci. 1993 Sep;14(6):429-35. doi: 10.1007/BF02339172.

Abstract

Benzodiazepines produce an anterograde amnesia after acute administration but whether their chronic use is hazardous to memory processes remains unclear. The present study analyses the risk of increasing cognitive complaints with chronic benzodiazepine use. Subjects seeking medical assistance at the General Internal Medicine Outpatient Clinic of Hospital de Clinicas de Porto Alegre, were interviewed before seeing physicians. They were asked about use of benzodiazepines, history of neurological and psychiatric diseases, use of alcohol, and deficits in remembering and learning as well as age, sex and level of education. Age (over 51 years), low level of education, a history of neurological and psychiatric diseases and use of benzodiazepines showed significant associations with cognitive complaints. After a conditional logistic regression analysis, benzodiazepine use lost its association with memory complaints. These data support the hypothesis that the chronic use of benzodiazepines does not carry a risk for cognitive deficits complaints.

摘要

苯二氮䓬类药物急性给药后会产生顺行性遗忘,但长期使用是否会对记忆过程造成危害仍不清楚。本研究分析了长期使用苯二氮䓬类药物导致认知主诉增加的风险。在阿雷格里港临床医院普通内科门诊寻求医疗帮助的受试者,在看医生之前接受了访谈。他们被问及苯二氮䓬类药物的使用情况、神经和精神疾病史、酒精使用情况、记忆和学习缺陷以及年龄、性别和教育水平。年龄(51岁以上)、低教育水平、神经和精神疾病史以及苯二氮䓬类药物的使用与认知主诉显著相关。经过条件逻辑回归分析后,苯二氮䓬类药物的使用与记忆主诉失去了关联。这些数据支持了长期使用苯二氮䓬类药物不会导致认知缺陷主诉风险的假设。

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