Davis L L, Trivedi M, Kramer G L, Rush A J, Orsulak P J, Akers L, Petty F
Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, USA.
Psychiatry Res. 1996 Feb 28;60(1):41-7. doi: 10.1016/0165-1781(96)02874-0.
Growth hormone (GH) response and baclofen levels were measured in seven healthy adult men following a 10-mg and a 20-mg dose of oral baclofen (gamma-aminobutyric acidB agonist) to determine the preferred dose in baclofen challenge studies. Multivariate analysis of variance (ANOVA) with repeated measures revealed no differences between the doses. However, when a univariate ANOVA with repeated measures was performed for each dose, the 10-mg dose showed no significant GH response over time, whereas the 20-mg dose showed a significant GH response over time. The average delta GH (change in GH from baseline) was 7.84 ng/ml (SD = 10.17) for the 10-mg dose and 3.34 ng/ml (SD = 3.64) for the 20-mg dose. The variability in the delta GH response to the 10-mg dose was significantly greater than the response to the 20-mg dose of baclofen. This variance in GH response was not explained by the differences in serum baclofen levels. Thus, a 20-mg baclofen dose appears to be preferable to a 10 mg-dose in baclofen challenge studies.
在七名健康成年男性口服10毫克和20毫克剂量的巴氯芬(γ-氨基丁酸B激动剂)后,测量生长激素(GH)反应和巴氯芬水平,以确定巴氯芬激发试验中的最佳剂量。重复测量的多变量方差分析(ANOVA)显示各剂量之间无差异。然而,当对每个剂量进行重复测量的单变量方差分析时,10毫克剂量随时间推移未显示出显著的GH反应,而20毫克剂量随时间推移显示出显著的GH反应。10毫克剂量的平均GH变化量(相对于基线的GH变化)为7.84纳克/毫升(标准差 = 10.17),20毫克剂量为3.34纳克/毫升(标准差 = 3.64)。10毫克剂量的GH反应变异性显著大于20毫克剂量的巴氯芬反应。血清巴氯芬水平的差异无法解释GH反应的这种变异性。因此,在巴氯芬激发试验中,20毫克的巴氯芬剂量似乎优于10毫克剂量。