Stenager E, Stenager E N, Knudsen L, Jensen K
Clinical Neuro-Psychiatric Research Unit, Odense University Hospital, Denmark.
Acta Neurol Belg. 1995;95(1):18-22.
Forty-nine patients (22 males, 27 females) were examined and interviewed with 5 years interval in order to determine the extent of the use of non-medical (alternative) treatment and whether the use influenced the natural course of multiple sclerosis (MS). Using clinical course, Kurtzke Disability Status scale, bladder and bowel function, neuropsychological tests, psychological tests, divorce and self-assessment score as parameters, it was found that non-medical treatment did not alter the course of MS. To confirm this result a clinical trial in a controlled design is needed. The use of non-medical treatment declined over the 5 years from 55% to 27%. The use of non-medical treatment could be interpreted as an indicator of psycho-social difficulties in MS patients.
对49名患者(22名男性,27名女性)进行了检查和访谈,间隔时间为5年,以确定非医学(替代)治疗的使用程度以及这种使用是否影响了多发性硬化症(MS)的自然病程。以临床病程、库茨克残疾状态量表、膀胱和肠道功能、神经心理学测试、心理测试、离婚率和自我评估分数作为参数,发现非医学治疗并未改变MS的病程。为了证实这一结果,需要进行一项对照设计的临床试验。在这5年中,非医学治疗的使用率从55%下降到了27%。非医学治疗的使用可以被解释为MS患者心理社会困难的一个指标。