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[锂对内生性精神病病程的影响(若干临床统计学关系)]

[Effect of lithium on the course of endogenous psychoses (several clinico-statistical relationships)].

作者信息

Zaĭtsev S G, Avrutskiĭ G Ia, Gromova V V, Savel'ev V M, Khmelevskiĭ D L

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1977;77(8):1248-53.

PMID:899545
Abstract

In 75 patients with a phasic development of endogenous psychoses the course of the disease before lithium treatment was characterized by statistically valid and successively increasing from attack to attack phenomena such as lengthening of attacks (phases) with a stable duration of the remissions and more frequent double phases. All of these phenomena were regarded by the authors as an unfavourable medicative pathomorphosis. The influence of lithium was expressed in the following symptoms: 1) prevention of hospitalization (56% of the cases); 2) significant shortening of the attacks (phases) and in some of the cases (19%)--their arrest; 3) transition from psychotic syndromes to cyclothymic; 4) a significant drop of double phases and a corresponding rise in the number of "pure" subdepressive states.

摘要

在75例内源性精神病呈阶段性发展的患者中,锂盐治疗前疾病进程的特征为,发作之间具有统计学意义且呈逐次增加的现象,如发作(阶段)延长、缓解期持续时间稳定以及双相发作更为频繁。作者认为所有这些现象均为不良的药物性病理形态变化。锂盐的作用表现为以下症状:1)预防住院(56%的病例);2)显著缩短发作(阶段),部分病例(19%)发作停止;3)从精神病综合征转变为环性心境障碍;4)双相发作显著减少,“单纯”亚抑郁状态数量相应增加。

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