第一代抗胺剂对出现动荡或妄想的预防性影响:系统性审查
Kazumasa Kotake1, Satoru Matsunuma2, Naoya Kitamura3
1Department of Pharmacy, Zikei Hospital, Zikei Institute of Psychiatry, 100-2 Urayasu Honmachi, Minami-Ku, Okayama-shi, Okayama, 702-8508, Japan. kottanketty@gmail.com.
European journal of clinical pharmacology
|September 12, 2024
概括
第一代抗胰岛素药物,如二胺,可能会减少术后出现的激动. 这些药物似乎是安全的,但需要进一步的研究来确认它们在预防兴奋和妄想方面的有效性.
科学领域:
- 麻醉学 麻醉学
- 药理学 药理学是指药理学的学科.
- 患者安全 患者安全
背景情况:
- 手术后出现的激动和妄想是严重的担忧.
- 第一代抗胰岛素在治疗这些疾病中的作用尚不清楚.
- 了解它们的影响对于改善康复期间患者安全至关重要.
研究的目的:
- 对第一代抗胰岛素药物的疗效和安全性进行随机对照试验 (RCT) 的系统审查.
- 评估它们在预防术后出现动荡和妄想方面的潜力.
- 为患者安全管理策略提供见解.
主要方法:
- 对九项随机对照试验 (RCT) 的系统综述.
- 包括在ICU或手术室设置中接受第一代抗组胺剂的患者.
- 评估主要结果 (兴奋/妄想) 和次要结果 (不良事件).
主要成果:
- 胺和二胺显示了减少激动的趋势 (二进制评估).
- 当持续评估时,非尼拉胺在降低激动方面是有效的 (里士满激动镇静量表).
- 对妄没有发现显著的益处;不良事件与对照组相似.
结论:
- 有限的证据表明,某些第一代抗组胺药物可以安全地预防术后出现的激动.
- 需要更多具有标准化评估标准的高质量的RCT.
- 确认其在激动和妄想预防方面的有效性需要更强有力的研究.
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