Department of Neurology L226, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97239, USA.
Expert Rev Clin Immunol. 2010 May;6(3):381-95. doi: 10.1586/eci.10.12.
Multiple sclerosis (MS) is a chronic disabling disease of the CNS that affects people during early adulthood. Despite several US FDA-approved medications, the treatment options in MS are limited. Many people with MS explore complementary and alternative medicine (CAM) treatments to help control their MS and treat their symptoms. Surveys suggest that up to 70% of people with MS have tried one or more CAM treatment for their MS. People with MS using CAM generally report deriving some benefit from the therapies. The CAM therapies most frequently used include diet, omega-3 fatty acids and antioxidants. There is very limited research evaluating the safety and effectiveness of CAM in MS. The most promising among CAM therapies that warrant further investigation are a low-fat diet, omega-3 fatty acids, lipoic acid and vitamin D supplementation as potential anti-inflammatory and neuroprotective agents in both relapsing and progressive forms of MS. There is very limited research evaluating the safety and effectiveness of CAM in MS. However, in recent years, the NIH and the National MS Society have been actively supporting the research in this very important area.
多发性硬化症(MS)是一种影响年轻人的中枢神经系统慢性致残疾病。尽管有几种美国食品和药物管理局批准的药物,但 MS 的治疗选择有限。许多 MS 患者探索补充和替代医学(CAM)治疗方法来帮助控制 MS 并治疗其症状。调查表明,高达 70%的 MS 患者曾尝试过一种或多种用于 MS 的 CAM 治疗方法。使用 CAM 的 MS 患者通常报告说从治疗中获得了一些益处。最常使用的 CAM 疗法包括饮食、欧米伽-3 脂肪酸和抗氧化剂。关于 CAM 在 MS 中的安全性和有效性的研究非常有限。CAM 疗法中最有前途的是低脂饮食、欧米伽-3 脂肪酸、硫辛酸和维生素 D 补充剂,它们可能是复发和进行性 MS 形式的潜在抗炎和神经保护剂。关于 CAM 在 MS 中的安全性和有效性的研究非常有限。然而,近年来,NIH 和国家多发性硬化症协会一直在积极支持这一非常重要领域的研究。