华夏医学2024,Vol.37Issue(6) :154-159.DOI:10.19296/j.cnki.1008-2409.2024-06-024

仙灵骨葆联合维生素D2治疗骨质疏松症的临床效果

Clinical efficacy of Xianling Gubao combined with vitamin D2 in the treatment of osteoporosis

杨盼盼 叶小青 胡俊 谈荣珍 张斌 朱莹
华夏医学2024,Vol.37Issue(6) :154-159.DOI:10.19296/j.cnki.1008-2409.2024-06-024

仙灵骨葆联合维生素D2治疗骨质疏松症的临床效果

Clinical efficacy of Xianling Gubao combined with vitamin D2 in the treatment of osteoporosis

杨盼盼 1叶小青 2胡俊 1谈荣珍 1张斌 1朱莹1
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作者信息

  • 1. 南昌市洪都中医院骨质疏松科,南昌 330013
  • 2. 南昌市洪都中医院肾内风湿免疫科,南昌 330013
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摘要

目的 探讨应用仙灵骨葆联合维生素D2 治疗骨质疏松症(OP)患者的临床效果.方法 选取 90 例OP患者,按照随机数字表法分为两组,每组45 例.两组患者均予以钙尔奇D片治疗,对照组加用维生素D2 软胶囊,观察组加用仙灵骨葆胶囊和维生素D2.连续治疗3 个月后,比较两组临床疗效、骨代谢指标、骨转换指标、骨密度、生活质量及不良反应.结果 观察组总有效率为 95.56%,高于对照组的 82.22%;治疗后,观察组碱性磷酸酶(ALP)、骨源性碱性磷酸酶(BAP)、骨钙素(OC)水平及骨密度、健康调查简表(SF-36)评分较对照组高,Ⅰ型胶原交联C-末端肽(CTX-1)水平较对照组低,差异均具有统计学意义(P<0.05);两组不良反应发生率无统计学差异(P>0.05).结论 仙灵骨葆联合维生素D2 治疗OP 患者效果较佳,可改善骨密度、骨代谢及骨转换,改善患者生活质量,且安全性好,值得临床推广应用.

Abstract

Objective To investigate the clinical efficacy of Xianling Gubao combined with vitamin D2 in the treatment of osteoporosis(OP)patients.Methods 90 patients with osteoporosis were selected and randomly divided into two groups using a random number table,with 45 patients in each group.Both groups of patients were treated with Caltech D tablets,with the control group were receiving vitamin D2 soft capsules and the observation group were receiving Xianling Gubao capsules and vitamin D2.After 3 months of continuous treatment,compare the clinical efficacy,bone metabolism indicators,bone turnover indicators,bone density,quality of life,and adverse reactions between the two groups.Results The total effective rate of the observation group was 95.56%,which was higher than 82.22%of the control group.After treatment,the levels of alkaline phosphatase(ALP),bone derived alkaline phosphatase(BAP),osteocalcin(OC),bone density,and the MOS 36-item short-form health survey(SF-36)score in the observation group were higher than those in the control group.The level of type Ⅰ collagen cross-linked C-terminal peptide(CTX-1)was lower than that in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion The combination of Xianling Gubao and vitamin D2 has a better therapeutic effect on OP patients,improving bone density,bone metabolism,and bone turnover,enhancing patients'quality of life,and has good safety.It is worthy of clinical application and promotion.

关键词

骨质疏松症/仙灵骨葆/维生素D2/骨密度/骨代谢/骨转换

Key words

osteoporosis/immortal spirit bone preservation/vitamin D2/bone density/bone metabolism/bone conversion

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出版年

2024
华夏医学
桂林医学院

华夏医学

影响因子:0.569
ISSN:1008-2409
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