Hughes R A, Heywood P, Sharrack B
Guy's Hospital, Department of Neurology, UMDS, London, UK.
Baillieres Clin Neurol. 1995 Nov;4(3):607-27.
Drug trials in peripheral neuropathy have used different outcome measures, the choice of which has depended on the nature of the neuropathy and the hypothesis being tested. The majority of the published trials have relied on measuring impairment (reflecting the desirable sensitivity of these outcome measures), and only few have used measures of disability or handicap. Drug trials in inflammatory neuropathy (GBS and CIDP), diabetic, paraproteinaemic, and toxic neuropathies have been discussed in this chapter, to illustrate the different therapeutic approaches used in the literature. Future drug trials in peripheral neuropathy should pay more attention to disability and handicap measures.
外周神经病变的药物试验采用了不同的结果指标,其选择取决于神经病变的性质和所检验的假设。大多数已发表的试验依赖于测量损伤(反映这些结果指标所需的敏感性),只有少数试验使用了残疾或障碍指标。本章讨论了炎症性神经病变(格林-巴利综合征和慢性炎症性脱髓鞘性多发性神经病)、糖尿病性、副蛋白血症性和中毒性神经病变的药物试验,以说明文献中使用的不同治疗方法。未来外周神经病变的药物试验应更加关注残疾和障碍指标。