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氯胺酮——抑郁症治疗中的新可能:一篇叙述性综述

Ketamine-New Possibilities in the Treatment of Depression: A Narrative Review.

作者信息

Kowalczyk Mateusz, Kowalczyk Edward, Kwiatkowski Paweł, Łopusiewicz Łukasz, Sienkiewicz Monika, Talarowska Monika

机构信息

Babinski Memorial Hospital, Aleksandrowska St. 159, 91-229 Lodz, Poland.

Department of Pharmacology and Toxicology, Medical University of Lodz, Żeligowskiego St. 7/9, 90-752 Lodz, Poland.

出版信息

Life (Basel). 2021 Nov 5;11(11):1186. doi: 10.3390/life11111186.

Abstract

The SARS-CoV-2 coronavirus epidemic has led to an increase in the number of people with depression. Symptoms related to the mental sphere (mainly depression and anxiety) may be experienced by one third of the worldwide population. This entails the need for the effective and rapid treatment of depressive episodes. An effective drug seems to be s-ketamine, which was accepted in March 2019 by the Food and Drug Administration (FDA) for the treatment of drug-resistant depression. This drug provides a quick antidepressant effect with maximum effectiveness achieved after 24 h. It also appears to reduce the occurrence of suicidal thoughts. However, research into undesirable effects, especially in groups of people susceptible to psychotic episodes or those who use alcohol or psychoactive substances, is necessary.

摘要

严重急性呼吸综合征冠状病毒2(SARS-CoV-2)疫情导致抑郁症患者数量增加。全球三分之一的人口可能会出现与精神领域相关的症状(主要是抑郁和焦虑)。这就需要对抑郁发作进行有效且快速的治疗。一种有效的药物似乎是s-氯胺酮,它于2019年3月被美国食品药品监督管理局(FDA)批准用于治疗耐药性抑郁症。这种药物能迅速产生抗抑郁效果,在24小时后达到最大疗效。它似乎还能减少自杀念头的出现。然而,有必要对其不良影响进行研究,尤其是在易患精神病发作的人群或使用酒精或精神活性物质的人群中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8494/8619908/621b7ab04dd7/life-11-01186-g001.jpg

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