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目的为观察绝经后骨质疏松妇女应用益钙宁长期治疗48周至72周对骨密度(BMD)及骨转换生化指标的影响。方法33例患者应用益钙宁(20单位/次,1次/周)加乳酸钙(元素钙,500mg/日)治疗,另35例患者单纯用乳酸钙(元素钙500mg/日)治疗。结果应用益钙宁加钙治疗组患者腰椎2~4BMD在治疗24周始即有明显增加并持续至72周;股骨近端的BMD增加,Wards三角区部位见于24周到48周;股骨颈部位见于48周和72周;大转子部位仅在72周。血BGP水平治疗24周呈增高的改变,而血TRAP和尿HYP/Cr比值的改变于治疗24周、48周和72周均有明显的下降。单纯用钙对照组于治疗后与治疗前比较未见明显改变。结论本研究结果提示益钙宁长期治疗可抑制骨吸收并可能刺激骨形成,预防骨量丢失并增加骨量
Objective To observe the effect of long-term therapy of YG on the bone mineral density (BMD) and biochemical markers of bone turnover in postmenopausal women with osteoporosis for 48 weeks to 72 weeks. Methods 33 patients were treated with YG (20 units / time, once a week) plus calcium lactate (500 mg / day), and the other 35 patients were treated with calcium lactate alone (500 mg / day). Results In patients treated with YGC plus calcium, the 2 ~ 4BMD of lumbar vertebrae increased significantly at the beginning of 24 weeks of treatment and continued to 72 weeks. The BMD of the proximal femur increased from 24 weeks to 48 weeks in Wards triangle, Seen at 48 weeks and 72 weeks; greater trochanter site only 72 weeks. Serum BGP levels increased at 24 weeks, while changes in blood TRAP and urine HYP / Cr levels were significantly reduced at 24, 48, and 72 weeks of treatment. Simple calcium control group after treatment compared with before treatment no significant change. Conclusions The results of this study suggest that long-term treatment with YG can inhibit bone resorption and may stimulate bone formation, prevent bone loss and increase bone mass