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大剂量甲基强的松龙与促肾上腺皮质激素治疗多发性硬化症的对比

"Bolus" methylprednisolone versus ACTH in the treatment of multiple sclerosis.

作者信息

Abbruzzese G, Gandolfo C, Loeb C

出版信息

Ital J Neurol Sci. 1983 Jun;4(2):169-72. doi: 10.1007/BF02043900.

DOI:10.1007/BF02043900
PMID:6311774
Abstract

Two groups of 30 multiple sclerosis (MS) patients were randomly treated with corticotrophin (ACTH) and "bolus" 6-methylprednisolone (B/6-MP) to compare the effectiveness of the two treatments. Both ACTH and B/6-MP showed a similar effect, improving acute neurological deficits of MS patients without modifying the long term course of the disease. B/6-MP, showing prompt effectiveness and lack of side effects, may be regarded as a useful alternative to conventional treatment of MS.

摘要

两组各30名多发性硬化症(MS)患者被随机给予促肾上腺皮质激素(ACTH)和“大剂量”6-甲基泼尼松龙(B/6-MP)治疗,以比较两种治疗方法的效果。ACTH和B/6-MP均显示出相似的效果,可改善MS患者的急性神经功能缺损,而不改变疾病的长期病程。B/6-MP起效迅速且无副作用,可被视为MS传统治疗的一种有效替代方法。

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本文引用的文献

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FURTHER NOTES ON DISABILITY EVALUATION IN MULTIPLE SCLEROSIS, WITH SCALE MODIFICATIONS.关于多发性硬化症残疾评估的进一步说明及量表修改
Neurology. 1965 Jul;15:654-61. doi: 10.1212/wnl.15.7.654.
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Methylprednisolone in multiple sclerosis: a comparative dose study.甲基强的松龙治疗多发性硬化症:一项比较剂量研究。
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Neurology. 1980 Jul;30(7 Pt 1):702-8. doi: 10.1212/wnl.30.7.702.
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Possible beneficial effect of high-dose intravenous steroid therapy in acute demyelinating disease and transverse myelitis.大剂量静脉注射类固醇疗法在急性脱髓鞘疾病和横贯性脊髓炎中的潜在有益作用。
Neurology. 1980 Jul;30(7 Pt 2):33-6. doi: 10.1212/wnl.30.7_part_2.33.
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High-dosage intravenously administered methylprednisolone in renal transplantation. A preliminary report.肾移植中高剂量静脉注射甲基强的松龙:初步报告
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Cooperative study in the evaluation of therapy in multiple sclerosis. ACTH vs. placebo--final report.多发性硬化症治疗评估的合作研究。促肾上腺皮质激素与安慰剂——最终报告。
Neurology. 1970 May;20(5):1-59. doi: 10.1212/wnl.20.5_part_2.1.
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Long-term treatment of multiple sclerosis with corticotrophin.用促肾上腺皮质激素对多发性硬化症进行长期治疗。
Lancet. 1967 Aug 26;2(7513):429-31. doi: 10.1016/s0140-6736(67)90850-1.
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Reversal of acute clinical and experimental organ rejection using large doses of intravenous prednisolone.使用大剂量静脉注射泼尼松龙逆转急性临床和实验性器官排斥反应。
Lancet. 1971 May 1;1(7705):876-80. doi: 10.1016/s0140-6736(71)92441-x.
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"Pulse" methylprednisolone therapy in the treatment of severe glomerulonephritis.“冲击” 甲泼尼龙疗法治疗重症肾小球肾炎
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