Appiotti A, Scarzella G
Divisione di Neurologia, Ospedale Mauriziano, Umberto I, Torino.
Minerva Med. 1990 Nov;81(11):807-13.
A clinical and electromyographic study was carried out to assess the therapeutic efficacy and general tolerance of a new mixture of internal ester gangliosides, with retarded neuropathy due to alcoholism. The study included the comparison between treatment for two months with internal ester gangliosides and traditional multi-vitamin treatment; the study was double-blind and randomised, and was performed according to an experimental plan using a double placebo technique. In order to assess damage to the PNS and the therapeutic efficacy of the two treatments, the following EMG tests were carried out: bilateral motory VDC, latency and width of MAP for SPE nerve, bilateral sensory VDC, latency and width of SAP for sural nerve. With regard to the clinical picture, statistical analyses were calculated using Mann-Whitney's test. Statistical evaluations for EMG tests were performed using Student's "t" test for unrelated groups in differences between the basal and final values of the variables taken into consideration. On the basis of results, it is possible to conclude that: a) the clinical variations and symptomatology showed a statistical significance in favour of the new ganglioside in comparison to the group treated with multi-vitamins; b) a statistically significant difference was observed in some electroneurographic parameters, namely VCM and latency of the SPE nerve, which was in favour of the group treated with the new ganglioside.
开展了一项临床和肌电图研究,以评估一种新的内脂神经节苷脂混合物对酒精性迟发性神经病的治疗效果和总体耐受性。该研究包括内脂神经节苷脂治疗两个月与传统多种维生素治疗的比较;研究采用双盲、随机设计,并根据使用双安慰剂技术的实验方案进行。为了评估周围神经系统损伤及两种治疗方法的疗效,进行了以下肌电图测试:双侧运动神经传导速度(VDC)、尺神经运动动作电位(MAP)的潜伏期和波幅宽度、双侧感觉神经传导速度(VDC)、腓肠神经感觉动作电位(SAP)的潜伏期和波幅宽度。关于临床表现,采用曼-惠特尼检验进行统计分析。肌电图测试的统计评估使用学生“t”检验,用于考虑变量的基础值和最终值之间差异的非相关组。根据结果,可以得出以下结论:a)与多种维生素治疗组相比,新神经节苷脂组的临床变化和症状表现具有统计学意义;b)在一些神经电生理参数上观察到统计学显著差异,即尺神经的运动复合肌肉动作电位(VCM)和潜伏期,这有利于新神经节苷脂治疗组。