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1. 重庆医科大学临床学院精神科
2. 重庆医科大学临床学院中心实验室,重庆,400016
纸质出版日期:2002,
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[1]况利,杨德兰,凌虹.丁螺环酮治疗广泛性焦虑症的临床药效学研究[J].重庆医科大学学报,2002(02):219-221.
KUANG Li, et al. Study on clinical pharmacodynamics of buspirone in generalized anxiety disorders[J]. Journal of Chongqing Medical University, 2002,(2):219-221.
目的:探讨丁螺环酮治疗广泛性焦虑症药物疗效、副反应以及药量与效应、血药浓度与效应之间的关系。方法:符合CCMD-2-R广泛性焦虑症诊断标准的患者例
随机分为丁螺环酮组例
阿普唑仑组例
治疗周;丁螺环酮组进行7136356口服剂量、血药浓度与临床、、和之间相关关系评定。HAMAHAMDSASTESS结果:丁螺环酮的疗效与阿普唑仑相当
副反应小于阿普唑仑;疗效出现于治疗后周
其中对精神性焦虑的作用优于躯体性焦虑;丁螺环酮口服剂量与效应、血药浓度与2效应及副反应之间均无明显相关性
不良反应轻尤其是无中枢镇静作用。() 结论:丁螺环酮治疗广泛性焦虑症疗效好、副反应小
值得临床推广应用。
Objective: To study the clinical pharmacodynamics
side effects
and the relationship among dosage
plasma concentration and clinical response in generalized anxiety disordes(GA) treated with buspirone. Methods: 71 GA met with the criteria of CCMD-2-R were randomly assigned to two groups
36 GA with buspirone treatment
35 GA with alprazolam treatment. Both groups were treated for 6 weeks. The relationship among oral dosage
plasma concentration and HAMA
HAMD
SAS
as well as TESS scores were analyzed in the buspirone group. Results: The therapeutic effect of buspirone was comparable to alprazolam
and its side effects were less than that of alprazolam; the effective oral dosage of buspirone is 20~30mg/d; the therapeutic efficiency of buspirone appeared in 2 week after treatment
and it was better in antipsychic anxiety than in antiphysical anxiety;there were no obvious relationship between buspirone oral dosages and its clinical efficacy
or plasma concentration and clicinal efficacy
but also plasma concentration and side effects; buspirone’s side effects were less than that of alprazolam. Co.nclusion: The therapeutic effect of buspirone is sure in patients with GA
and its side effects are less than that of alprazolam; buspirone should be recommended in clinical practice.
广泛性焦虑症丁螺环酮临床药效学
Generalized anxiety disorderBuspironeClicinal pharmacodynamics
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