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奥氮平快速治疗兴奋激越症状的临床观察 被引量:7

Rapid control of excitation and agitation with olanzapine
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摘要 目的 探讨再普乐快速镇静疗法的临床疗效与安全性。方法 随机选取具有明显兴奋症状的分裂症患者11例和躁狂症患者1例,给予再普乐(15~25 mg/d)快速镇静治疗2周。以治疗前后简明精神病量表(BPRS)激越分的减分率评定疗效,以不良反应量表评定安全性。结果 1周后10例有效,2例无效,有效率83.3%。2周后11例有效,1例脱落,有效率91.7%。病人有体重增加等轻度副反应。结论 再普乐快速疗法疗效肯定,病人耐受性良好。 Objective: To observe the safety and efficacy of rapid control therapy with olanzapine. Methods: 11 schizophrenics and 1 maniac with excitation symptom were randomly selected. Olanzapine ( 15 -25 mg/d) were acutely administered for 2 weeks. Efficacy and safety of the treatment were assessed respectively by Brief Psychiatric Rating Scale (BPRS) and Treatment-emergent Signs and Symptoms (TESS). Results: After 1 week treatment, 10 cases were rated as effective while 2 were rated ineffective, the rate of effectiveness was 83. 3% ; at the end of 2 week, 11 patients were rated as effective and 1 dropped-out, the rate of effectiveness was 91.7%. Patients had some mild adverse effects such as weight gain. Conclusion: The results indicated that acute coutrol therapy with olanzapine had definite effectiveness with good tolerability.
机构地区 广州市脑科医院
出处 《上海精神医学》 北大核心 2003年第6期344-346,共3页 Shanghai Archives of Psychiatry
关键词 再普乐 快速镇静疗法 Olanzapine Rapid tranquilization
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  • 1[1]James L Karagianis, et al. Rapid tranquilization with olanzapine in acute psychosis: a case series. J Clin Psychiatry, 2001,62
  • 2[2]Wright P, Birkett M, Meehan K, et al. A double-blind study of intramuscular olanzapine, haloperidol and placebo in acutely agitated schizophrenic patients. Presented at the 22nd Collegium Internationale Neuro-Psychopharmacologicaum, 2000, 7 : 9 ~ 13
  • 3[3]Tohen M, Jacobs TG, Grundy SL, et al. For the Olanzapine HGGW Study Group. Efficacy of olanzapine in acute bipolar manin; adoubleblind, placebo-controlled study. Arch Gen Psychiatry, 2000, 57 :841 ~ 849
  • 4[4]Beasley CM, Hamilton SH, Crawford AM, et al. Olanzapine versus haloperidol: acute phase results of the international double-blind olanzapine trial. Eur Psychopharmacol, 1997, 7 : 125 ~ 137
  • 5[5]Beasley CM, Tollefson G, Tran PV, et al. Olanzapine versus placebo and haloperidol: acute phase results of the North American doubleblind olanzapine trial. Neuropsychopharmacology, 1996, 14: 111~123

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