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低剂量纳曲酮长期治疗可维持多发性硬化症患者的健康稳定。

Long-term treatment with low dose naltrexone maintains stable health in patients with multiple sclerosis.

作者信息

Ludwig Michael D, Turel Anthony P, Zagon Ian S, McLaughlin Patricia J

机构信息

Department of Neural and Behavioral Sciences, the Pennsylvania State University College of Medicine, USA.

Department of Neurology, The Milton S Hershey Medical Center, USA.

出版信息

Mult Scler J Exp Transl Clin. 2016 Sep 29;2:2055217316672242. doi: 10.1177/2055217316672242. eCollection 2016 Jan-Dec.

Abstract

INTRODUCTION

A retrospective study was conducted on patients at Penn State Hershey Medical Center diagnosed with relapsing-remitting multiple sclerosis between 2006 and 2015.

METHODOLOGY

Laboratory and clinical data collected over this 10-year period were reviewed. Two cohorts of patients were established based on their relapsing-remitting multiple sclerosis therapy at the time of their first visit to Penn State. One group of patients ( = 23) was initially prescribed low dose naltrexone at the time first seen at Hershey. This group was offered low dose naltrexone because of symptoms of fatigue or refusal to take an available disease-modifying therapy. The second group of patients ( = 31) was treated with the glatiramer acetate (Copaxone) and offered low dose naltrexone as an adjunct therapy to their disease-modifying therapy.

RESULTS

Patient data from visits after 1-50 months post-diagnosis were evaluated in a retrospective manner. Data obtained from patient charts included clinical laboratory values from standard blood tests, timed 25-foot walking trials, and changes in magnetic resonance imaging reports. Statistical analyses between the groups and for each patient over time indicated no significant differences in clinical laboratory values, timed walking, or changes in magnetic resonance imaging.

CONCLUSION

These data suggest that the apparently non-toxic, inexpensive, biotherapeutic is safe and if taken alone did not result in an exacerbation of disease symptoms.

摘要

引言

对2006年至2015年间在宾夕法尼亚州立大学赫尔希医学中心被诊断为复发缓解型多发性硬化症的患者进行了一项回顾性研究。

方法

回顾了这10年期间收集的实验室和临床数据。根据患者首次就诊于宾夕法尼亚州立大学时的复发缓解型多发性硬化症治疗情况,建立了两组患者。一组患者(n = 23)在首次在赫尔希就诊时最初被开具低剂量纳曲酮。由于疲劳症状或拒绝接受现有的疾病修正治疗,该组患者被给予低剂量纳曲酮。第二组患者(n = 31)接受醋酸格拉替雷(Copaxone)治疗,并将低剂量纳曲酮作为其疾病修正治疗的辅助治疗。

结果

以回顾性方式评估了诊断后1 - 50个月就诊时的患者数据。从患者病历中获得的数据包括标准血液检查的临床实验室值、25英尺定时步行试验以及磁共振成像报告的变化。组间以及每位患者随时间的统计分析表明,临床实验室值、定时步行或磁共振成像变化无显著差异。

结论

这些数据表明,这种明显无毒、廉价的生物疗法是安全的,单独使用时不会导致疾病症状加重。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/acfe/5433405/af90ddf1d43b/10.1177_2055217316672242-fig1.jpg

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