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左旋多巴加脱羧酶抑制剂长期治疗帕金森病的疗效减退研究。

Study of deterioration in long-term treatment of parkinsonism with L-dopa plus decarboxylase inhibitor.

作者信息

Ludin H P, Bass-Verrey F

出版信息

J Neural Transm. 1976;38(3-4):249-58. doi: 10.1007/BF01249442.

DOI:10.1007/BF01249442
PMID:956811
Abstract

35 parkinsonian patients have been treated over 3 years with L-Dopa combined with benserazide. After an impressive improvement during the first months of treatment a slow but significant deterioration of the patient's condition was observed. At the end of the observation period however their condition was still significantly better than before starting the treatment. A reduced mean L-Dopa dosage was ruled out as the cause of this deterioration. Withdrawal of the L-Dopa therapy for a few days in 13 patients provided strong evidence that it is due to the progression of the disease and to a partial loss of L-Dopa efficacy.

摘要

35名帕金森病患者接受了为期3年的左旋多巴联合苄丝肼治疗。在治疗的最初几个月里病情有显著改善之后,观察到患者病情出现缓慢但明显的恶化。然而,在观察期结束时,他们的病情仍明显好于开始治疗前。排除了平均左旋多巴剂量减少是导致这种恶化的原因。13名患者停用左旋多巴治疗数天,有力地证明这是由于疾病进展以及左旋多巴疗效部分丧失所致。

相似文献

1
Study of deterioration in long-term treatment of parkinsonism with L-dopa plus decarboxylase inhibitor.左旋多巴加脱羧酶抑制剂长期治疗帕金森病的疗效减退研究。
J Neural Transm. 1976;38(3-4):249-58. doi: 10.1007/BF01249442.
2
[Combined treatment of Parkinsonism with L-dopa and peripheral dopa decarboxylase inhibitors--clinical course of 13 cases and levels of serum/dopa and dopamine].左旋多巴与外周多巴脱羧酶抑制剂联合治疗帕金森病——13例临床病程及血清/多巴和多巴胺水平
Rinsho Shinkeigaku. 1976 Jul 1;16(7):511-9.
3
L-dopa plus dopa-decarboxylase inhibitor. Sleep organization in Parkinson's syndrome before and after treatment.左旋多巴加多巴脱羧酶抑制剂。帕金森综合征治疗前后的睡眠结构。
Acta Neurol Belg. 1975 Jan-Feb;75(1):5-10.
4
[The combined treatment of Parkinson's disease with L-dopa plus decarboxylase inhibitors (carbidopa, benserazide) (author's transl)].左旋多巴加脱羧酶抑制剂(卡比多巴、苄丝肼)联合治疗帕金森病(作者译)
Wien Klin Wochenschr. 1979 May 11;91(10):332-7.
5
[Comparative studies of L-DOPA alone and combination with a peripheral DOPA decarboxylase inhibitor, HCL-benserazide, on Parkinson's disease-part I: clinical aspects (author's transl)].左旋多巴单独使用及与外周多巴脱羧酶抑制剂盐酸苄丝肼联合使用治疗帕金森病的比较研究——第一部分:临床方面(作者译)
No To Shinkei. 1979 Mar;31(3):295-304.
6
Six-year results of treatment with levodopa plus benzerazide in Parkinson's disease.左旋多巴加苄丝肼治疗帕金森病的六年结果
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Correlation of clinical symptoms, HVA and 5-HIAA in csf and plasma L-DOPA in Parkinsonian patients treated with L-DOPA and L-DOPA + RO 4-4602.左旋多巴及左旋多巴+RO 4-4602治疗的帕金森病患者临床症状、脑脊液中高香草酸(HVA)和5-羟吲哚乙酸(5-HIAA)与血浆左旋多巴的相关性
Eur J Clin Pharmacol. 1977 Apr 20;11(4):255-61. doi: 10.1007/BF00607673.
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Report on 45-month treatment of parkinsonism with L-dopa, alone and in association with a decarboxilase inhibitor (Ro 4-4602).左旋多巴单独及联合脱羧酶抑制剂(Ro 4-4602)治疗帕金森病45个月的报告
Acta Neurol Latinoam. 1974;20(1-4):116-38.
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Improved control of brittle Parkinsonism by separate administration of levodopa and benserazide.通过左旋多巴和苄丝肼分开给药改善脆性帕金森病的控制。
Br Med J (Clin Res Ed). 1982 Apr 3;284(6321):1001-2. doi: 10.1136/bmj.284.6321.1001.
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[Decarboxylase inhibitor given in combination with l-dopa. A new therapeutic principal in parkinsonism].[脱羧酶抑制剂与左旋多巴联合使用。帕金森病的一种新治疗原则]
Tidsskr Nor Laegeforen. 1973 Oct 10;93(28):2113-5.

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Rate of motor progression in Parkinson's disease: a systematic review and meta-analysis.帕金森病运动进展率:一项系统评价与荟萃分析
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The effects of L-dopa on the activity of methionine adenosyltransferase: relevance to L-dopa therapy and tolerance.左旋多巴对甲硫氨酸腺苷转移酶活性的影响:与左旋多巴治疗及耐受性的相关性。
Neurochem Res. 1993 Mar;18(3):325-30. doi: 10.1007/BF00969090.
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Interaction of pergolide with central dopaminergic receptors.培高利特与中枢多巴胺能受体的相互作用。

本文引用的文献

1
Critical analysis of the disability in Parkinson's disease.帕金森病残疾状况的批判性分析。
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2
Cerebral accumulation and metabolism of C14-dopa after selective inhibition of peripheral decarboxylase.外周脱羧酶选择性抑制后C14 - 多巴的脑内蓄积与代谢
J Pharmacol Exp Ther. 1968 May;161(1):14-20.
3
Long-range motor performance changes in levodopa-treated patients with Parkinson's disease.帕金森病左旋多巴治疗患者的长期运动功能变化
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Classification of drugs according to receptor binding profiles.根据受体结合特征对药物进行分类。
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[Treatment of Parkinson's syndrome with L-dopa and its methylated derivatives: 3-OMD and 4-OMD associated with a decarboxylase inhibitor. Clinical and biochemical study].[左旋多巴及其甲基化衍生物(3 - OMD和4 - OMD)联合脱羧酶抑制剂治疗帕金森综合征:临床与生化研究]
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Enhanced response to low doses of levodopa after withdrawal from chronic treatment.从长期治疗停药后对低剂量左旋多巴的反应增强。
Neurology. 1972 May;22(5):520-5. doi: 10.1212/wnl.22.5.520.
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Levodopa therapy effects on natural history of Parkinsonism.
Arch Neurol. 1972 Dec;27(6):481-5. doi: 10.1001/archneur.1972.00490180017005.
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[Further experimental studies on the catecholamine metabolism in extrapyramidal diseases (Parkinson and chorea syndromes)].
Arch Psychiatr Nervenkr (1970). 1967 Aug 8;210(1):29-35. doi: 10.1007/BF01217333.
8
[The deterioration of patients with parkinsonism treated with L-dopa].[用左旋多巴治疗的帕金森综合征患者的病情恶化]
Nouv Presse Med. 1975 Oct 18;4(35):2503-6.
9
Comparison of dopa decarboxylase inhibitor (carbidopa) combined with levodopa and levodopa alone in Parkinson's disease.多巴脱羧酶抑制剂(卡比多巴)联合左旋多巴与单用左旋多巴治疗帕金森病的比较。
Neurology. 1975 Oct;25(10):911-6. doi: 10.1212/wnl.25.10.911.