首页|利塞膦酸钠对绝经后骨质疏松症患者血BGP及尿NTX/Cr的影响

利塞膦酸钠对绝经后骨质疏松症患者血BGP及尿NTX/Cr的影响

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目的:利塞膦酸钠胶囊治疗绝经后骨质疏松症(PMOP)患者,观察血骨钙素(BGP)和尿Ⅰ型胶原氨基末端肽/肌酐(NTX/Cr)的变化并探讨其意义.方法:受试者120对随机等分入利塞膦酸钠组(A组)和安慰剂组(B组).A组给予利塞膦酸钠胶囊+碳酸钙D3咀嚼片,B组给予安慰剂+碳酸钙D3咀嚼片.整个试验疗程为12 mo,在治疗前、用药后6 mo及12 mo随访.分别采用放射免疫测定法(RIA)和酶联免疫吸附剂测定(ELISA)法检测BGP和NTX(nmol/L)/Cr(mmol/L)值.结果:BGP A组下降了(2.9±4.7)μg/L,B组下降了(0.5±3.9)μg/L.NTX/Cr A组下降了(9.4±65.9),B组升高了(3.6±59.9).两组比较差异均有统计学意义(P<0.05).结论:利塞膦酸钠胶囊能够有效抑制PMOP患者的骨吸收,降低骨转换.
Effects of risedronate sodium on serum BGP and urine NTX/Cr in patients with postmenopausal osteoporosis
AIM:To study the effects of Risedronate Sodium Capsules on serum BGP and urine NTX/Cr in patients with postm-enopausal osteoporosis(PMOP). METHODS: One hundred and twenty pairs of postmenopausal women with low bone mineral density( BMD) were randomly classified into 2 groups. Group A (n = 120) were treated by risedronate sodium,5 mg,q. d with calcium 0.5 g and vitamin D200 IU,q. d. and Group B(n = 120) received the same treatment as that in group A except that placebo was given instead of risedronate sodium. The duration of the study was set to 12 months. Serum bone gla protein (BGP) and urine cross - linked N-telopeptide of collagen typeⅠ/creatine( NTX/Cr) were determined before as well as 6 and 12 months after the treatment by radioimmunoassay ( RIA) and enzyme-linked immunosor-bent assay ( ELBA). RESULTS: At the end of the treatment,BGP decreased by(2.9±4.7) and(0.5±3.9) μg/L respectively in group A and group B. In group A,NTX(nmol/L)/Cr (mmol/L) decreased by(9.4 ±65.9) but increased by(3. 6 ± 59. 9) in group B. There was statistical difference in BGP and NTX/Cr between the 2 groups. CONCLUSION: Risedronate sodium inhibits bone absorption and decreases bone turnover in women with postmenopausal osteoporosis.

risedronate sodiumosteoporosisbone turnover markers

周日、刘建、孟国林

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第四军医大学西京医院骨科,陕西,西安,710033

利塞膦酸钠 骨质疏松 骨代谢指标

2009

第四军医大学学报
第四军医大学

第四军医大学学报

CSTPCDCSCD北大核心
影响因子:0.599
ISSN:1000-2790
年,卷(期):2009.30(7)
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