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抗T淋巴细胞球蛋白治疗包涵体肌炎:一项随机试验性研究。

Anti-T-lymphocyte globulin treatment in inclusion body myositis: a randomized pilot study.

作者信息

Lindberg C, Trysberg E, Tarkowski A, Oldfors A

机构信息

Department of Neurology, Sahlgrenska University Hospital/Molndal, Sahlgrenska NeuroMuscular Center, Gothenburg, Sweden.

出版信息

Neurology. 2003 Jul 22;61(2):260-2. doi: 10.1212/01.wnl.0000071852.27182.c7.

Abstract

The authors performed an open, randomized trial in patients with inclusion body myositis comparing 1) 12-month treatment with oral methotrexate 7.5 mg/week alone (MTX group) with 2) 12-month MTX treatment preceded by 7 days of IV anti-T-lymphocyte immunoglobulin treatment (ATG group). Eleven patients were randomized; 10 patients completed 12 months follow-up. Myometry showed that patients in the ATG group (n = 6) increased in mean muscle strength by 1.4% compared with the MTX group (n = 5), whose muscle strength decreased by 11.1% (p = 0.021).

摘要

作者对包涵体肌炎患者进行了一项开放性随机试验,比较:1)单独使用口服甲氨蝶呤7.5毫克/周进行12个月治疗(甲氨蝶呤组)与2)在静脉注射抗T淋巴细胞免疫球蛋白治疗7天后进行12个月的甲氨蝶呤治疗(抗胸腺细胞球蛋白组)。11名患者被随机分组;10名患者完成了12个月的随访。肌功能测量显示,抗胸腺细胞球蛋白组(n = 6)的患者平均肌肉力量增加了1.4%,而甲氨蝶呤组(n = 5)的肌肉力量下降了11.1%(p = 0.021)。

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