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[美他多辛在慢性酒精中毒中的治疗应用。综合内科患者的双盲研究]

[Therapeutic use of metadoxine in chronic alcoholism. Double blind study of patients in a department of general medicine].

作者信息

Rizzo A, Breda A, Moretto F, Pace M, Dotta C, Gelso E, Sanzuol F, Tossani C

机构信息

Divisione Medica, USL 12, Ospedale di Valdobbiadene (TV).

出版信息

Clin Ter. 1993 Mar;142(3):243-50.

PMID:8482064
Abstract

Sixty patients, recognized as chronic alcoholics on the grounds of the case history and with a score above 11 of the Munich Alcoholism Test (MALT) have been treated with metadoxine or placebo for thirty days according to a double blind randomized design. In the group treated with active drug there has been a significant reduction higher than in the controls of the scores relating to the abstinence symptomatology, in particular regarding the neuropsychic residual symptomatology (anxiety, depression, insomnia) after the first week of treatment, a reduced requirement of benzodiazepines and/or neuroleptics, and a significant decrement higher than in the controls of the score of MALT at the end of treatment. Furthermore, metadoxine seems to make easy the maintenance of abstinence, at least at short term.

摘要

60例根据病史被认定为慢性酒精中毒且慕尼黑酒精中毒测试(MALT)得分高于11分的患者,按照双盲随机设计,接受了30天的美他多辛或安慰剂治疗。在接受活性药物治疗的组中,与戒酒症状相关的得分,特别是在治疗第一周后与神经精神残留症状(焦虑、抑郁、失眠)相关的得分,比对照组有显著降低,苯二氮䓬类药物和/或抗精神病药物的需求量减少,且在治疗结束时MALT得分比对照组有显著下降。此外,美他多辛似乎至少在短期内便于维持戒酒状态。

相似文献

1
[Therapeutic use of metadoxine in chronic alcoholism. Double blind study of patients in a department of general medicine].[美他多辛在慢性酒精中毒中的治疗应用。综合内科患者的双盲研究]
Clin Ter. 1993 Mar;142(3):243-50.
2
Alcoholic abstinence syndrome: short-term treatment with metadoxine.酒精戒断综合征:美他多辛的短期治疗
Int J Clin Pharmacol Res. 1991;11(1):35-40.
3
Metadoxine in acute alcohol intoxication: a double-blind, randomized, placebo-controlled study.美他多辛治疗急性酒精中毒:一项双盲、随机、安慰剂对照研究。
Alcohol Clin Exp Res. 2002 Mar;26(3):340-6.
4
[The therapeutic effect of metadoxine on alcoholic and non-alcoholic steatohepatitis].美他多辛对酒精性和非酒精性脂肪性肝炎的治疗作用
Orv Hetil. 2005 Nov 20;146(47):2409-14.
5
[Metadoxine in alcohol-related pathology].
Clin Ter. 1989 Jul 31;130(2):115-22.
6
[Metadoxine in the control of oxidative stress caused by acute and chronic ethanol poisoning].[美他多辛对急慢性乙醇中毒所致氧化应激的控制作用]
Boll Soc Ital Biol Sper. 1986 Nov 30;62(11):1357-63.
7
[Effects of metadoxine on main biohumoral changes induced by chronic alcoholism].
Clin Ter. 1992 Mar;140(3):251-7.
8
[The treatment of alcoholism with metadoxil].[用美他多辛治疗酒精中毒]
Voen Med Zh. 1999 Oct;320(10):57-9.
9
[Therapeutic use of metadoxine in alcohol-related mental and behavioral disorders].[美他多辛在酒精相关精神和行为障碍中的治疗应用]
Clin Ter. 1987 Dec 31;123(6):469-73.
10
Preliminary findings on the use of metadoxine for the treatment of alcohol dependence and alcoholic liver disease.美他多辛用于治疗酒精依赖和酒精性肝病的初步研究结果。
Hum Psychopharmacol. 2011 Dec;26(8):554-9. doi: 10.1002/hup.1244. Epub 2011 Nov 16.

引用本文的文献

1
Metadoxine improves the three- and six-month survival rates in patients with severe alcoholic hepatitis.美他多辛可提高重症酒精性肝炎患者3个月和6个月的生存率。
World J Gastroenterol. 2015 Apr 28;21(16):4975-85. doi: 10.3748/wjg.v21.i16.4975.
2
Management of alcohol dependence in patients with liver disease.肝病患者酒精依赖的管理。
CNS Drugs. 2013 Apr;27(4):287-99. doi: 10.1007/s40263-013-0043-4.
3
A follow up study on the efficacy of metadoxine in the treatment of alcohol dependence.美他多辛治疗酒精依赖疗效的随访研究
Subst Abuse Treat Prev Policy. 2006 Dec 18;1:35. doi: 10.1186/1747-597X-1-35.