首页|伊班膦酸钠对恶性肿瘤骨转移患者疼痛、ALP及Ca2+水平的影响

伊班膦酸钠对恶性肿瘤骨转移患者疼痛、ALP及Ca2+水平的影响

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目的:分析伊班膦酸钠对恶性肿瘤骨转移患者疼痛、碱性磷酸酶(Alkaline phosphatase,ALP)及Ca2+水平的影响.方法:回顾性分析 2021 年 9 月至 2023 年 5 月在本院进行治疗的 63 例恶性肿瘤骨转移患者的临床资料,所有患者根据治疗方法分为对照组(采用单纯放疗治疗,30例)和观察组(在对照组的基础上应用伊班膦酸钠进行治疗,33 例).于治疗前、治疗 6 w后采用自动生化分析仪检测ALP、Ca2+水平,并采用疼痛程度数字评估表(Numerical rating scale,NRS)评估治疗后疼痛程度,以生活质量综合评定问卷(Generic Quality of Life Inventory,GQOLI-74)评估生活质量,并记录不良反应发生情况.结果:治疗后,两组NRS评分下降,且观察组治疗6 w后的NRS评分低于对照组(P<0.05);治疗后,两组ALP、Ca2+水平均下降,且观察组治疗6 w后ALP、Ca2+水平低于对照组(P<0.05);治疗后,两组GQOLI-74 评分均升高,且观察组治疗 6 w后的GQOLI-74 评分高于对照组(P<0.05);对照组(0.00%)的不良反应发生率低于观察组(9.09%)(P>0.05).结论:伊班膦酸钠可有效改善恶性肿瘤并发骨转移患者的疼痛程度,降低ALP、Ca2+水平,提高其生活质量,且具有一定的安全性.
Effects of ibandronate on pain,ALP,and Ca2+ levels in patients with bone metastasis of malignant tumors
Objective:To analyze the effects of ibandronate sodium on pain,Alkaline phosphatase(ALP),and Ca2+ levels in patients with bone metastasis of malignant tumors.Methods:The clinical data of 63 patients with bone metastasis of malignant tumors who were treated in our hospital from September 2021 to May 2023 were retrospectively analyzed.According to the different treatment methods,they were divided into the control group(treated with radiotherapy alone,30 cases)and the observation group(treated with ibandronate sodium based on the control group,33 cases).ALP and Ca2+ levels were detected by an automatic biochemical analyzer before and 6 weeks after treatment,and the pain degree of the two groups was evaluated by the numerical rating scale(NRS)after treatment.The quality of life was evaluated by the Generic Quality of Life Inventory(GQOLI-74),and adverse reactions were recorded.Results:After treatment,the NRS scores were decreased in the two groups,and the NRS score in the observation group was lower than the control group after 6 weeks of treatment(P<0.05).After treatment,the levels of ALP and Ca2+ in the two groups decreased,and the levels of ALP and Ca2+ in the observation group were lower than those in the control group after 6 weeks of treatment(P<0.05).After treatment,the GQOLI-74 scores of the two groups increased,and the GQOLI-74 score of the observation group was higher than that of the control group after 6 weeks of treatment(P<0.05).The incidence of adverse reactions in the control group(0.00%)was lower than that in the observation group(9.09%)(P>0.05).Conclusion:Ibandronate sodium can effectively relieve the pain of patients with malignant tumors and bone metastasis,reduce the levels of ALP and Ca2+,and improve their quality of life,with a certain safety.

Ibandronate sodiumMalignant tumorsBone metastasisPainALPCa2+

任晓燕、方献英、宋波

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信阳市中心医院肿瘤内科,河南 信阳 464000

伊班膦酸钠 恶性肿瘤 骨转移 疼痛 ALP Ca2+

2024

四川生理科学杂志
四川省生理科学会

四川生理科学杂志

影响因子:0.575
ISSN:1671-3885
年,卷(期):2024.46(3)
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