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布美他尼治疗3至6岁孤独症谱系障碍儿童后症状改善:一项随机、双盲、安慰剂对照的临床试验

查看全文 作  者:[1]戴媛;[1]章玲丽;[1,2]俞珏华;[3]周欣;[1]何华;[1]季忆婷;Kai [1]Wang;[1]杜秀娟;[1]刘欣;[1,4]唐云;[1]邓世宁;Christelle [5]Langley;[6]李伟广;[1]张军;[7]冯建峰;Barbara [1,5,7]J.Sahakian;[1,8]罗强;[1]李斐 高影响力作者 机构地区:[1]Department of Developmental and Behavioural Pediatric&Child Primary Care,Brain and Behavioural Research Unit of Shanghai Institute for Pediatric Research and MOE-Shanghai Key Laboratory for Children’s Environmental Health,Xinhua Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200092,China;[2]Centre for Experimental Studies and Research,The First Affiliated Hospital of Kunming Medical University,Kunming 650032,China;[3]Clinical Research Unit,Xinhua Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200092,China;[4]The School of Psychology and Cognitive Science,East China Normal University,Shanghai 200062,China;[5]Department of Psychiatry and the Behavioural and Clinical Neuroscience Institute,University of Cambridge,Cambridge CB21TN,UK;[6]Collaborative Innovation Center for Brain Science,Department of Anatomy and Physiology,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China;[7]Institute of Science and Technology for Brain-Inspired Intelligence,Ministry of Education-Key Laboratory of Computational Neuroscience and Brain-Inspired Intelligence and Research and Research Institute of Intelligent Complex Systems,Fudan University,Shanghai 200433,China;[8]State Key Laboratory of Medical Neurobiology and Ministry of Education Frontiers Center for Brain Science,Institutes of Brain Science and National Clinical Research Center for Aging and Medicine,Huashan Hospital,Fudan University,Shanghai 200040,China高影响力机构 出  处:《Science Bulletin》索引2021年第66卷第15期,共9页高影响力期刊 基  金:the Shanghai Municipal Commission of Health and Family Planning(2018BR33,2017EKHWYX-02,and GWV-10.1-XK07);the Shanghai Shenkang Hospital Development Center(16CR2025B);the Shanghai Clinical Key Subject Construction Project(shslczdzk02902);the National Natural Science Foundation of China(81761128035,81930095,81873909,82001771,and 31860306);the Shanghai Committee of Science and Technology(17XD1403200,20ZR1404900,and 19410713500);Xinhua Hospital of Shanghai Jiao Tong University School of Medicine(2018YJRC03);the National Human Genetic Resources Sharing Service Platform(2005DKA21300);the National Key Research and Development Program of China(2018YFC0910503);111 Project(B18015);the Shanghai Municipal Science and Technology Major Project(2018SHZDZX01);Guangdong Key Project in‘‘Development of New Tools for Diagnosis and Treatment of Autism”(2018B030335001);the Science and Technology Department of Yunnan Province(202001AV070010)。 摘  要:孤独症谱系障碍是一大类婴幼儿期起病、以社交沟通和感知觉障碍为主要特征的神经发育障碍性疾病.目前治疗以康复为主,无有效药物.本研究采用随机、双盲、安慰剂对照临床试验策略,探索布美他尼干预对低龄孤独症患儿的疗效、安全性及潜在的神经生物学机制.研究结果显示,与安慰剂对照组相比,为期3个月的布美他尼药物干预可安全、有效改善低龄孤独症患儿核心症状,药效可能与其调节岛叶皮层GABA功能有关.本研究为目前国际上单站点最大样本量的随机双盲临床试验,研究结果为低龄孤独症患儿提供了潜在的药物治疗方案. 关 键 词:孤独症谱系障碍 安慰剂对照 布美他尼 药物治疗方案 发育障碍性疾病 核心症状 症状改善 临床试验
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