[增加儿童和青少年抗精神病药物的使用——需要监测其效果和安全性]。

Lakartidningen Pub Date : 2025-08-05
Elin Dahlén, Anders Sundström, Sverre Wikström, Ida Walles, Håkan Jarbin, Elin Kimland
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引用次数: 0

摘要

抗精神病药对治疗严重精神疾病很重要。很少有抗精神病药被批准用于儿童和青少年。副作用很常见,儿童比成人更容易出现,尤其是代谢方面的影响。5-17岁儿童的抗精神病药处方数量有所增加(2004-2023年期间,每1000名儿童从5名增加到23名)。大多数儿童的处方是第二代抗精神病药物,这与国家建议一致。处方用药最多的是利培酮和阿立哌唑,但也存在地区差异。接受抗精神病药治疗的儿童需要更频繁地监测,但根据我们对85名处方者的调查,采取了适当的随访措施。有必要对儿童使用抗精神病药物及其严重副作用的风险进行深入分析。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Increased use of antipsychotics to children and adolescents - monitoring of effect and safety is needed].

Neuroleptics are important for the treatment of serious psychiatric conditions. Few neuroleptics are approved for use in children and adolescents. Side effects are common, and children experience them more often than adults, particularly metabolic effects. The number of prescriptions of neuroleptics to children aged 5-17 years has increased (from 5 to 23 per 1000 children during 2004-2023). Most children were prescribed second-generation antipsychotics, which is in accordance with national recommendations. The most prescribed drugs were risperidone and aripiprazole, but regional differences exist. Children treated with neuroleptics need to be monitored more frequently, but adequate follow-up measures are used according to our survey of 85 prescribers. There is a need for an in-depth analysis of children's use of antipsychotics and the risk of serious side effects.

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来源期刊
Lakartidningen
Lakartidningen Medicine-Medicine (all)
CiteScore
0.30
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134
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