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全身冷冻刺激对继发进展型多发性硬化症患者血浆尿酸浓度的长期影响。

Long-term effects of whole body cryostimulation on uric acid concentration in plasma of secondary progressive multiple sclerosis patients.

机构信息

Department of Physical Medicine, Medical University of Lodz.

出版信息

Scand J Clin Lab Invest. 2013 Dec;73(8):635-40. doi: 10.3109/00365513.2013.841986.

Abstract

BACKGROUND

Uric acid (UA) has been suggested to be a marker of multiple sclerosis (MS) activity. Whole body cryostimulation (WBCT) is a new form of additional treatment and becoming popular in medicine.

OBJECTIVES

The aims of this study were to determine the long-term effects of WBCT on the level of plasma UA in selected group of MS patients only with secondary progressive (SPMS) clinical form and verify results with functional state of patients assessed by expanded disability status scale (EDSS).

MATERIALS AND METHODS

SPMS patients (n = 22) and healthy controls (n = 22) participated in 10 3-min-long exposures of WBCT (one exposure per day). Results were collected before the WBCT treatment and after completion the WBCT series as well as one and three months later.

RESULTS

WBCT increased UA concentration in plasma of SPMS patients not only directly after 10 exposures (p < 0.0001) but also one (p < 0.0001) and three (p < 0.005) months later. Furthermore, WBCT causes positive changes in EDSS scale both directly after WBCT (7% lower) and maintain this level 1 month later as well as 3 month later (5% lower).

CONCLUSIONS

WBCT may be used as adjuvant therapy via increase UA blood level; it improves functional status of SPMS patients.

摘要

背景

尿酸(UA)已被认为是多发性硬化症(MS)活动的标志物。全身冷冻刺激(WBCT)是一种新的附加治疗形式,在医学领域越来越受欢迎。

目的

本研究的目的是确定 WBCT 对仅具有继发性进展(SPMS)临床形式的 MS 患者血浆 UA 水平的长期影响,并通过扩展残疾状况量表(EDSS)评估患者的功能状态来验证结果。

材料和方法

SPMS 患者(n = 22)和健康对照者(n = 22)参加了 10 次 3 分钟长的 WBCT 暴露(每天一次暴露)。结果在 WBCT 治疗前、治疗完成后以及 1 个月和 3 个月后收集。

结果

WBCT 不仅直接在 10 次暴露后增加了 SPMS 患者血浆中的 UA 浓度(p < 0.0001),而且在 1 个月(p < 0.0001)和 3 个月后(p < 0.005)也是如此。此外,WBCT 直接在 WBCT 后(降低 7%)以及 1 个月后(降低 5%)和 3 个月后都能改善 EDSS 量表的评分,维持这种水平。

结论

WBCT 可通过增加 UA 血液水平作为辅助治疗方法,改善 SPMS 患者的功能状态。

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