鼠神经生长因子治疗儿童脊髓性肌萎缩症的临床研究

Application of mouse nerve growth factor in treatment of spinal muscular atrophy in children

  • 摘要: 目的 观察鼠神经生长因子治疗儿童脊髓性肌萎缩症(SMA)的临床疗效及安全性。方法 采用治疗前后自身对照研究。2006年10月-2007年8月共18例SMA患儿接受臀部肌内注射9 000AU鼠神经生长因子治疗,治疗1个月进行安全性评估,治疗3个月后进行临床疗效、肌电图、能力低下儿童评定量表评估。结果 18例患儿均完成安全性评估,其中7例患儿完成了所有疗效评估。全体受试者均无不良反应发生;临床症状有一定程度改善,肌力提高了0.5级;肌电图及能力低下儿童评估量表结果均有好转趋势但差异无统计学意义。结论 鼠神经生长因子治疗儿童脊髓性肌萎缩症有一定疗效且无严重不良反应。

     

    Abstract: Objective To observe the effectiveness and safety of mouse nerve growth factor in treatment of spinal muscular atrophy(SMA) in children. Methods A total of 18 children with SMA were treated by intramuscular injection with 9000AU mouse nerve growth factor from October 2006 to August 2007.Its safety was evaluated one month after treatment.Its therapeutic effect was quantitatively evaluated using the pediatric evaluation of disability inventory(PEDI) scale and electromyogram(EMG) three months after treatment. Results Of the 18 children who underwent the safety evaluation,7 underwent all the therapeutic effect evaluations of mouse nerve growth factor.No adverse effect was observed in all children.The clinical symptoms were improved at a certain extent.The muscle strength increased 0.5-fold.Improvements in SMA were found EMG and PEDI scale with no statistical significance. Conclusion Mouse nerve growth factor has certain therapeutic effects on SMA in children with no severe side effects.

     

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