利塞膦酸钠防治绝经后妇女骨质疏松症的有效性和安全性

利塞膦酸钠防治绝经后妇女骨质疏松症的有效性和安全性

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时间:2019-03-03

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1、英文摘要Efficacyandsafetyofrisedronatesodiuminpreventionandtreatmentofwomenwithpostmenopausalosteoporosis,aprospectiverandomizedplacebo-controlledtrail:1-yearoftreatmentplus1-yearoffollow-upABSTRACTObjective:Toevaluatetheefficacyandsafetyoforaladministration

2、ofrisedronatesodiuminpreventionandtreatmentofwomenwithpostmenopausalosteoporosis,toprovideevidenceandtheexperiencesforclinicalpractice.Methods:Therewasaprospective,randomized,double—blindandplacebo-controlstudyduration1ye屿andalsoplus1-yearofuntreatedfoll

3、ow—up.68CaseSpostmenopausalwomenwithosteoporosis(n=46)orosteopenia(n=22)wereenrolled,whowererandomizedtoreceiveeitherrisedronate(5mg/d)orplacebofor12months.Allsubjectsweresupplementedwithcalcium600mgandvitaminD3125unitsdailysimultaneously.Allpatientswere

4、followedupat0,1,3,6,9,12and24恤months.Thebonemineraldensity(BMD)oflumbarspine(I吒,L3,L4andL2~4),hip(femoralneck,trochanter,thetotalofthehipandwards’Sfriangle)andnon·superiorityfocileweredeterminedbydualenergyX-rayabsorptionmetry(DEXA)at0,6,12and24mmonths,a

5、swellasthebonemetabolismmarkersincluding英文摘要serumcalcium,fosfonls,urinaryN—telopeptide(NTX),boneglaprotein(BGP)andtotalalkalinephosphatase(tALP)weredetected.Routinebloodandurinetest,liverandrenalfunctionsweremeasured,electrocardiographyandthoracicandlumb

6、erspinelateralX-raywereperformedatthesametime.Thesideeffectsandnewlybonefractureswereassessedineverypatient.BMD,bonemetabolismmarkersandadverseeventswerecomparedbeforeandaftertreatmentintwogroups.Result:61caseswomencompletedthestudy.1Tocompareallofthetes

7、tedparametersbeforetreatmentandthedifferencesinthepercentagechangefrombaselinerespectivelyintwogroupsat6”month.1.1ThechangesofBMDoflumbarspine(L2,L3,L4andk~4)inexperimentalgroupwere(3.70-J:1.26)%,(2.93+1.60)%,(2.23:1:1.18)%and(3.13+1.10)%respectively,whi

8、letheirchangesinthecontrolgroupwere(一0.19-士-0.75)%,(0.06-x0.39)%,(0.074-0.42)%and(0.01+0.35)%,P

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