罕见病研究2024,Vol.3Issue(2) :214-220.DOI:10.12376/j.issn.2097-0501.2024.02.009

双膦酸盐类药物用于钙化防御治疗的文献分析

Literature Review of Using Bisphosphonates in the Treatment of Calciphylaxis

梁春苏 王少红 张逸舟 刘鑫 牛子冉 史亦丽 张波
罕见病研究2024,Vol.3Issue(2) :214-220.DOI:10.12376/j.issn.2097-0501.2024.02.009

双膦酸盐类药物用于钙化防御治疗的文献分析

Literature Review of Using Bisphosphonates in the Treatment of Calciphylaxis

梁春苏 1王少红 1张逸舟 1刘鑫 1牛子冉 1史亦丽 1张波2
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作者信息

  • 1. 中国医学科学院北京协和医院药剂科,北京 100730
  • 2. 中国医学科学院北京协和医院药剂科,北京 100730;中国医学科学院北京协和医院疑难重症及罕见病全国重点实验室 国家罕见病医疗质量控制中心,北京 100730
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摘要

目的 分析双膦酸盐类药物用于钙化防御患者治疗的有效性和安全性.方法 检索PubMed、Embase、中国知网及万方数据库,收集报道双膦酸盐用于钙化防御的病例报告,提取患者相关信息进行统计分析.结果 纳入文献共18篇病例报告,患者20例,结果显示13例患者(65.0%)采用帕米膦酸盐治疗,4例患者(20.0%)采用依替膦酸盐,2例患者(10.0%)采用阿仑膦酸盐,1例患者(5.0%)采用唑来膦酸.13例患者(65.0%)完全康复,康复时间为0.5~9个月.大部分患者双膦酸盐类药物的耐受性较好(90.0%),1例不耐受帕米膦酸盐的患者在调整给药频次后康复,1例依替膦酸盐高给药剂量患者在停用后指标恢复正常.结论 双膦酸盐类药物作为一种骨吸收的抑制剂,兼具有效性和安全性,有望用于钙化防御患者的治疗.

Abstract

Objective To analyze the effectiveness and safety of bisphosphonates in the treatment of pa-tients with calcification defense.Methods PubMed,Embase databases,CNKI and Wanfang were searched to collect the case reports and clinical studies of bisphosphonates for calcification defense.Then,the relevant infor-mation of patients was extracted for statistical analysis.Results A total of 18 case reports were selected involving 20 patients.Thirteen patients(65.0%)were treated with pamidronate,four(20.0%)were treated with etidr-onate,two(10.0%)were treated with alendronate,and one(5.0%)was treated with zoledronic acid.Thirteen patients(65.0%)recovered completely,the recovery time of whom ranged from half month to nine months.The tolerance of bisphosphonates in most patients(90.0%)was good,while one patient who did not tolerate pamidr-onate recovered after the frequency of administration was adjusted and one patient with high dosage of etidronate returned to normal after the discontinuation of the usage.Conclusions Bisphosphonates,an inhibitor of bone resorption,is effective and safe in the treatment of patients with calcification defense.

关键词

钙化防御/双膦酸盐/帕米膦酸盐/阿仑膦酸盐/唑来膦酸

Key words

calciphylaxis/bisphosphonates/pamidronate/alendronate/zoledronic acid

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基金项目

国家自然科学基金(82304456)

中央高水平医院临床科研业务费项目(2022-PUMCH-B-059)

出版年

2024
罕见病研究

罕见病研究

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参考文献量29
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