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精神分裂症患者长期服用精神药物期间的瞳孔异常:光反应与近视力反应的分离

Pupillary abnormalities in schizophrenic patients during long-term administration of psychotropic drugs: dissociation between light and near vision reactions.

作者信息

Okada F, Kase M, Shintomi Y

出版信息

Psychopharmacology (Berl). 1978 Jul 19;58(3):235-40. doi: 10.1007/BF00427385.

DOI:10.1007/BF00427385
PMID:98793
Abstract

Pupillographic studies were made of the reactions to light and near vision in 12 schizophrenic patients under long-term administration of psychotropic drugs. The results showed a significant reduction in the light reaction, while the near vision reaction was preserved. The pupillographic study revealed not only reduction in amplitude of the light reaction but also changes in dynamic aspects of the reaction, i.e., prolonged latency time, shortened constriction time, and half redilatation time after the light stimulus. The mechanisms underlying the dissociation between light reaction and near vision reaction induced by long-term administration of psychotropic drugs are obscure, but both the peripheral and central actions of these drugs may be involved.

摘要

对12名长期服用精神药物的精神分裂症患者进行了瞳孔描记研究,以观察他们对光和近视力的反应。结果显示,光反应显著降低,而近视力反应则得以保留。瞳孔描记研究不仅揭示了光反应幅度的降低,还发现了反应动态方面的变化,即光刺激后的潜伏期延长、收缩时间缩短和半复张时间缩短。长期服用精神药物引起的光反应和近视力反应分离的潜在机制尚不清楚,但这些药物的外周和中枢作用可能都与之有关。

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Pupillary abnormalities in schizophrenic patients during long-term administration of psychotropic drugs: dissociation between light and near vision reactions.精神分裂症患者长期服用精神药物期间的瞳孔异常:光反应与近视力反应的分离
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引用本文的文献

1
Associations Between Blunted Pupillary Constriction and Dilation in Individuals with Schizophrenia: Evidence of a Common Mechanism?精神分裂症患者瞳孔收缩和扩张迟钝之间的关联:一种共同机制的证据?
Schizophr Bull Open. 2025 Aug 20;6(1):sgaf017. doi: 10.1093/schizbullopen/sgaf017. eCollection 2025 Jan.
2
Blunted pupil light reflex is associated with negative symptoms and working memory in individuals with schizophrenia.瞳孔对光反射迟钝与精神分裂症个体的阴性症状和工作记忆有关。
Schizophr Res. 2022 Oct;248:254-262. doi: 10.1016/j.schres.2022.09.019. Epub 2022 Sep 14.

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