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[促甲状腺素释放激素治疗肌萎缩侧索硬化症]

[Treatment of amyotrophic lateral sclerosis with thyrotropin releasing hormone].

作者信息

Serratrice G, Desnuelle C, Crevat A, Guelton C, Meyer-Dutour A

出版信息

Rev Neurol (Paris). 1986;142(2):133-9.

PMID:3088700
Abstract

Nine patients (7 with amyotrophic lateral sclerosis, 1 with progressive spinal amyotrophy and 1 with chronic anterior poliomyelitis) were treated by sequential intravenous administration of 240 mg of TRH over one hour every two weeks. Results were assessed by an analytical evaluation of muscle strength before and 24 h after each infusion and by objective and subjective evaluation of spasticity. Significant improvement, as shown by statistical analysis, was noted in muscle strength in the 9 patients by 5 infusions over a 4-week period and a sub-group of 5 patients treated by 8 infusions over 10 weeks. Continued use of this therapy is justified by the need to determine its long-term effects and the psychological improvement noted in some patients after an even transient improvement in motor performance. However this treatment is obviously not curative.

摘要

9例患者(7例肌萎缩侧索硬化症、1例进行性脊髓性肌萎缩症和1例慢性脊髓灰质炎)接受了治疗,每两周一次,在1小时内静脉输注240毫克促甲状腺激素释放激素(TRH)。通过每次输注前和输注后24小时对肌肉力量的分析评估以及对痉挛的客观和主观评估来评估结果。统计分析显示,9例患者在4周内输注5次后肌肉力量有显著改善,5例患者亚组在10周内输注8次后肌肉力量也有显著改善。由于需要确定其长期效果以及部分患者在运动表现出现短暂改善后出现的心理改善,因此继续使用这种疗法是合理的。然而,这种治疗显然不能治愈疾病。

相似文献

1
[Treatment of amyotrophic lateral sclerosis with thyrotropin releasing hormone].[促甲状腺素释放激素治疗肌萎缩侧索硬化症]
Rev Neurol (Paris). 1986;142(2):133-9.
2
[Clinical, electrophysiologic and endocrine effects of the perfusion of high doses of TRH in amyotrophic lateral sclerosis].
Rev Neurol (Paris). 1988;144(11):704-9.
3
Intrathecal thyrotropin-releasing hormone in amyotrophic lateral sclerosis.肌萎缩侧索硬化症中的鞘内注射促甲状腺激素释放激素
Neurol Clin. 1987 Feb;5(1):159-70.
4
Intravenous thyrotropin-releasing hormone in patients with amyotrophic lateral sclerosis. Dose-response and randomized concurrent placebo-controlled pilot studies.肌萎缩侧索硬化症患者静脉注射促甲状腺素释放激素。剂量反应及随机同期安慰剂对照试验研究
Neurol Clin. 1987 Feb;5(1):143-58.
5
[Spinal mechanism of the antispastic action of TRH in patients with amyotrophic lateral sclerosis].
Rev Neurol (Paris). 1988;144(11):701-3.
6
[Preliminary clinical study on the treatment of amyotrophic lateral sclerosis with TRH].[促甲状腺激素释放激素治疗肌萎缩侧索硬化症的初步临床研究]
Clin Ter. 1986 Dec 31;119(6):479-81.
7
[Treatment of amyotrophic lateral sclerosis with TRH].[促甲状腺激素释放激素治疗肌萎缩侧索硬化症]
Neurol Neurochir Pol. 1988 May-Jun;22(3):206-10.
8
[Treatment of amyotrophic lateral sclerosis with daily intrathecal TRH. A year's experience. Pilot study II].
Neurologia. 1992 Jan;7(1):4-9.
9
Amyotrophic lateral sclerosis: effects of acute intravenous and chronic subcutaneous administration of thyrotropin-releasing hormone in controlled trials.肌萎缩侧索硬化症:促甲状腺激素释放激素急性静脉注射和慢性皮下注射在对照试验中的效果
Neurology. 1986 Feb;36(2):152-9. doi: 10.1212/wnl.36.2.152.
10
TRH-induced reflex changes in patients with ALS.
Electromyogr Clin Neurophysiol. 1989 Nov-Dec;29(7-8):465-7.

引用本文的文献

1
Subacute administration of a TRH analogue (RX77368) in motorneuron disease: an open study.促甲状腺激素释放激素类似物(RX77368)在运动神经元病中的亚急性给药:一项开放性研究。
J Neurol Neurosurg Psychiatry. 1988 Sep;51(9):1146-57. doi: 10.1136/jnnp.51.9.1146.
2
Amyotrophic lateral sclerosis: thyroid and prolactin hormone changes in thyrotropin-releasing hormone therapy.肌萎缩侧索硬化症:促甲状腺激素释放激素治疗中甲状腺和催乳素激素的变化
Ital J Neurol Sci. 1990 Dec;11(6):601-3. doi: 10.1007/BF02337445.
3
Low doses of TRH in amyotrophic lateral sclerosis and in other neurological diseases.
低剂量促甲状腺激素释放激素在肌萎缩侧索硬化症及其他神经疾病中的应用
Ital J Neurol Sci. 1991 Apr;12(2):193-8. doi: 10.1007/BF02337033.
4
Down-regulation of thyrotropin-releasing hormone (TRH) receptors in spinal cord after transection as revealed by quantitative autoradiography.定量放射自显影显示,横断后脊髓中促甲状腺激素释放激素(TRH)受体下调。
Exp Brain Res. 1991;83(2):381-4. doi: 10.1007/BF00231162.