Fenichel G, Pestronk A, Florence J, Robison V, Hemelt V
Department of Neurology, Vanderbilt University School of Medicine, Nashville, TN 37212, USA.
Neurology. 1997 May;48(5):1225-6. doi: 10.1212/wnl.48.5.1225.
We treated 10 boys with Duchenne muscular dystrophy with oxandrolone, an anabolic steroid, for 3 months. The mean of the changes in the average muscle score was an improvement of 0.315 +/- 0.097. The expected mean change in muscle score after 3 months from natural history data is a loss of 0.1. The difference of 0.415 between the actual and expected values is significant at p < 0.01. This preliminary evidence suggests that oxandrolone treatment may provide a degree of functional benefit for children with Duchenne muscular dystrophy that is similar to that after prednisone administration.
我们用合成代谢类固醇氧雄龙对10名杜氏肌营养不良症男孩进行了为期3个月的治疗。平均肌肉评分变化的平均值提高了0.315±0.097。根据自然病史数据,3个月后肌肉评分的预期平均变化是下降0.1。实际值与预期值之间0.415的差异在p<0.01时具有显著性。这一初步证据表明,氧雄龙治疗可能为杜氏肌营养不良症儿童提供一定程度的功能益处,类似于服用泼尼松后的效果。