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Yıl:1992; Cilt: 3; Sayı: 4>> Özet
Türk Psikiyatri Dergisi; 1992;3(4):261-264
Her İki Cinste İntramuskuler Klorpromazin ve Serum Fizyolojik Uygulamasının Serum CPK Düzeylerine Etkisi
ME ÖNDER, V BİTLİS, H FİDANER, G ARIHAN
Bu kesitsel vaka kontrol çalışmasında 20 erkek 20 kadından oluşan ve kronik şizofreni tanısı almış bireylerde kas içine klorpromazin enjeksiyonu yapılmadan önce ve sonraki serum kreatin fosfokinaz (CPK) düzeyleri ölçülerek kontrol grubuyla karşılaştırılmıştır. Kontrol grubu, kas içine serum fizyolojik yapılmadan önce ve yapıldıktan sonraki serum CPK düzeyleri ölçülen 40 sağlıklı bireyden (20 erkek, 20 kadın) oluşmaktadır. Sonuçta her iki grupta da enjeksiyon sonrası serum CPK düzeylerinde yükselme görülmüştür. Bu yükselme, klorpromazin enjeksiyonu yapılan grupta özellikle de erkeklerde daha önemli düzeydedir. Bu çalışmanın sonuçları ile özellikle erkeklerde daha sık görülen nöroleptik malign sendromun patogenezinin ilişkili olabileceği düşünülmüştür.

Effects of Intramuscular Chlorpromazine and Serum Physiologic Administrations on Serum Creatine Phosphokinase Levels
In this cross-sectional case-control study, serum creatine phosphokinase (CPK) levels were studied before and after gluteal I.M. chlorpromazine administration in a group of 20 male and 20 female patients, who were chronic schizophrenics. The results were compared with the control group. The control group also consisted of 40 healthy people (20 males, 20 females). Their serum CPK levels were also studied before and after I. M. serum physiologic injection. A a result it was seen that serum CPK levels were increased after injection in both groups but the elevation was more significant in the chlorpromazine administered group especially in males. These results may be related with the pathogenesis of neuroleptic malignant syndrome which is more frequent in males.

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