[迟发性运动障碍]。

Z A Zalyalova
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引用次数: 0

摘要

迟发性运动障碍(TD)是一种迟发性,通常是不可逆的医源性运动障碍,由长期使用多巴胺受体阻断药物引起。预防TD是最重要的,临床医生应该遵循处方抗精神病药物的最佳实践建议,并减少在非精神科处方中使用多巴胺受体阻断药物。替代对D2受体亲和力较低的抗精神病药物,加入VMAT2 (tetrabenazine),肉毒杆菌治疗,金刚烷胺可能有效。在发现和无法治愈的病例中,应考虑大脑结构神经调节的可能性。大多数检测TD的方法目前证据不足,尽管它们包括专业团体的建议。迫切需要新的临床试验。
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[Tardive dyskinesia].
Tardive dyskinesia (TD) is a delayed, often irreversible iatrogenic movement disorder caused by long-term use of that dopamine receptors blocking drugs. Prevention of TD is paramount, and clinicians should follow best practice recommendations for prescribing antipsychotics, as well as reduction the using of dopamine receptor blocking drugs for non-psychiatric prescriptions. Replacement of antipsychotics with lower affinity for D2 receptors drugs, addition of VMAT2 (tetrabenazine), botulinum therapy, amantadine may be effective. In detection and incurable cases, the possibility of neuromodulation of brain structures should be considered. Most methods for testing TD currently have an insufficient level of evidence, although they include recommendations from professional communities. There is a great need for new clinical trials.
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来源期刊
Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova
Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova Medicine-Psychiatry and Mental Health
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0.80
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