Thompson A J, Kennard C, Swash M, Summers B, Yuill G M, Shepherd D I, Roche S, Perkin G D, Loizou L A, Ferner R
Department of Neurology, London Hospital, UK.
Neurology. 1989 Jul;39(7):969-71. doi: 10.1212/wnl.39.7.969.
To compare the efficacy of high-dose intravenous methylprednisolone with intramuscular ACTH in the treatment of acute relapse in multiple sclerosis, we undertook a double-blind, randomized, controlled study involving 61 patients. There was a marked improvement in both groups in the course of the study, but no difference between them in either the rate of recovery or the final outcome. High-dose IV methylprednisolone is a safe alternative to ACTH in the management of acute relapse in MS.
为比较大剂量静脉注射甲基泼尼松龙与肌内注射促肾上腺皮质激素(ACTH)治疗多发性硬化急性复发的疗效,我们进行了一项双盲、随机、对照研究,涉及61例患者。在研究过程中两组均有显著改善,但在恢复率或最终结局方面两组之间无差异。在多发性硬化急性复发的治疗中,大剂量静脉注射甲基泼尼松龙是ACTH的一种安全替代药物。