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老年之家居民中苯二氮䓬类药物的逐渐撤药:经验及对未来研究的建议

Gradual withdrawal from benzodiazepines in residents of homes for the elderly: experience and suggestions for future research.

作者信息

Habraken H, Soenen K, Blondeel L, Van Elsen J, Bourda J, Coppens E, Willeput M

机构信息

Projekt Farmaka, Ghent, Belgium.

出版信息

Eur J Clin Pharmacol. 1997;51(5):355-8. doi: 10.1007/s002280050213.

Abstract

OBJECTIVE

A randomised, controlled clinical trial was performed to study the long-term effect of gradual withdrawal from benzodiazepines on the daily functioning of residents of homes for the elderly. The planned sample size was not achieved due to recruitment and follow-up problems.

RESULTS

The results in this small sample nevertheless suggest that gradual withdrawal from benzodiazepines is possible in residents of homes for the elderly, and that it can have a positive effect on their daily functioning. No major withdrawal symptoms were observed, although there was a decrease in sleep quality during withdrawal.

CONCLUSION

The findings are promising for further research, but researchers should anticipate the problems inherent in executing a trial with institutionalised elderly subjects.

摘要

目的

开展一项随机对照临床试验,以研究逐渐停用苯二氮䓬类药物对养老院居民日常功能的长期影响。由于招募和随访问题,未达到计划的样本量。

结果

尽管如此,这个小样本的结果表明,养老院居民有可能逐渐停用苯二氮䓬类药物,并且这对他们的日常功能可能产生积极影响。未观察到严重的戒断症状,尽管在戒断期间睡眠质量有所下降。

结论

这些发现为进一步研究带来了希望,但研究人员应预见到对机构养老的老年受试者进行试验所固有的问题。

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