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?????? Drugs used in mental disturbances

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Title: Author: jsj Created Date: 2/18/2003 2:01:06 AM Document presentation format: Company – PowerPoint PPT presentation

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Title: ?????? Drugs used in mental disturbances


1
?????? Drugs used in mental
disturbances
  • ?????????????
  • ????? ???
  • ??? ???
  • ??? ???????
  • ??? ?????

2
  • ????Psychiatric disorders
  • ??? Neurosis
  • ???? Antianxiety drugs
  • ??? Psychosis
  • ????? Schizophrenia
  • ????? Antipsychotic drugs

3
??????? Affective disorders
?????? AntimanicAntidepressive drugs
4
??? ?????Antipsychotic drugs
  • ?????(schizophrenia)
  • ?????????????,?????????????
  • ?? ????(?????)
  • ?? ????(?????)

5
???? Thinkin disorders delusion
?? Hallucinations ?? D2(D2,D3,D4)?? ???? Emo
tional withdrawal ????,D1(D1,D5)??
6
???(chlorpromazine)
  • ???(wintermine)
  • ???
  • ?????,?????,??????????????
  • ??????,??sc,im ????

7
  • ?????????
  • ????,???????
  • ??????
  • ????,????
  • ?????,??????

8
???????
  • ?????(DA)??
  • ??DA??

1 ??-???
??????????
2 ??-???
??????????
3 ??-??
4 ???-????
???,????
9
  • ????????
  • ????(????)??
  • ???????????
  • ???????
  • ???????? ??????
  • ??????????????
  • ????-?????-?????D2??

10
  • ????

????
????????????D2R
????
??
???
????????????
11
  • ??????

???????????
??????
??????????
12
  • ?????????
  • ??????????
  • ????????
  • ??????????
  • ????????????

13
  • ??????????
  • ??????a??
  • ?????????????????????
  • ?????M??
  • ??????????

14
3.?????????
???
??????
D2R
?????????
???????????????
????
ACTH
?????
????
??????
???????
??????
15
  • ????????
  • ????-???D2R
  • ??????????

16
????
  • ???????
  • ?????????
  • ???????????
  • ????, ?????
  • ?????????????

17
  • ????????
  • ???(???, ???)??
  • ???(???, ????)??
  • ?????
  • ??????????

18
  • ????, ????
  • ???? ??????, ??????????????
  • ???? ????(?????????)?????, ??????????????,
    ???????????????
  • ????, ?????, ????, ??????????

19
????
  • ??
  • ?????? ??, ??, ??
  • M??????
  • a??????
  • ????
  • ??, ???, ?????, ??

20
  • ??????
  • ?????? Parkinsonism
  • ???? Akathisia
  • ???????
  • ???????
  • ??????, ??????

Acute dystonia
Tardive dyskinesia
21
  • ???????
  • ??, ????????????????
  • ???????
  • ?????????????
  • ????

22
  • ??????
  • ??????????,???????????
  • ???????????AD??

23
????????
  • ???? chlorprothixene
  • ???(tardan)
  • ???? haloperidol
  • ???? penfluridol
  • ??? sulplride
  • ??? clozapine
  • ??? risperidone(???)

24
??? Risperidone (???) ??D2,5HT2??,
?????????? ???????
25
???-???

NA
5HT
??? ???(???) NA????? ????
5-HT???? ???
???
NA
26
??? ?????
Antimanic drugs
  • ??? ????, ????, ????, ?????????
  • ????? ???
  • ???? ????
  • ??????

27
??? (lithium carbonate)
  • ????
  • ????, ??????Na?????
  • ????
  • ??NA?DA?? ???
  • ????????

28
L R ( M1?M3?H1?5HT2??1) LR
?(Li) G-PROTEIN ???C (PLC) PIP2
??????? PIP PI Li IP3????? DG ????
????? Ca ???C(PKC) I
?? CDP-DG ?(Li) ??
29
  • ???????????, ???????, ????????
  • ?????, ?????
  • ????????
  • ??????????
  • ??????????

30
???????? mmol/L
0.61.2 ???? 1.4 ??????
gt1.5 ???? gt2.0 ????
gt3 ??
31
??? ????
Antidepressive drugs
  • ??? ????, ????
  • ??? ???(???)
  • NA????? ????
  • 5-HT???? ???

??
32
??? (tricyclic antidepressive drugs,TCA)
  • ???(imipramine, ???)
  • ??????
  • ????????????????
  • ????

33
  • ????
  • ?????????????
  • ????NA?5-HT???

????????
???
?????, ??a???H1????
34
????
  • ??????????
  • ?????????????
  • ???
  • ???
  • ??????

35
????
  • ???????????
  • ???????????
  • ???????????????????????????????

36
5-HT??????
  • ??????
  • ??????
  • ???? ???a?M?5HT?H??
  • ?????????
  • ????????????

37
?????????
  • ????5-HT???
  • ?????????????
  • ??????????
  • ????
  • ???(fluoxetine, ???)

38
??NA???
??5-HT???
??
?? M?? ???
???
????
???? -
??? - - -
39
?????
  • ??????????????????????????????????
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