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预防性氟化物治疗与老年骨骼

Prophylactic fluoride treatment and aged bones.

作者信息

Inkovaara J, Heikinheimo R, Jarvinen K, Kasurinen U, Hanhijarvi H, Iisalo E

出版信息

Br Med J. 1975 Jul 12;3(5975):73-4. doi: 10.1136/bmj.3.5975.73.

DOI:10.1136/bmj.3.5975.73
PMID:1095134
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1673673/
Abstract

In a double-blind trial with monofluorophosphate (25 mg fluoride per day) given to 460 aged persons (237 treated, 233 control) for eight months no difference was observed in height, admission to hospital, or mortality. Fractures and exacerbation of arthrosis were more frequent in the fluoride group. Vertebral x-ray films showed no difference. The free ionized fluoride levels in the plasma of the fluoride-treated group were still twice as high two months after treatment ended. Fluoride treatment in the prophylaxis of osteoporosis is not recommended unless there is simultaneous measurement of plasma ionized fluoride levels.

摘要

在一项双盲试验中,给460名老年人(237人接受治疗,233人作为对照)每日服用单氟磷酸酯(每日含氟25毫克),为期8个月,结果发现身高、住院率或死亡率方面均无差异。氟化物组的骨折和关节病加重情况更为常见。脊椎X光片显示无差异。治疗结束两个月后,接受氟化物治疗组血浆中的游离离子氟水平仍高出两倍。除非同时测量血浆离子氟水平,否则不建议采用氟化物治疗来预防骨质疏松症。

相似文献

1
Prophylactic fluoride treatment and aged bones.预防性氟化物治疗与老年骨骼
Br Med J. 1975 Jul 12;3(5975):73-4. doi: 10.1136/bmj.3.5975.73.
2
[Bone complications during the treatment of osteoporosis with fluor].[氟治疗骨质疏松症期间的骨并发症]
Rev Med Interne. 1989 Mar-Apr;10(2):118-26. doi: 10.1016/s0248-8663(89)80091-8.
3
Treatment of vertebral osteoporosis with fluoride and calcium.用氟化物和钙治疗椎体骨质疏松症。
Prog Clin Biol Res. 1990;332:221-30.
4
Prevention and management of osteoporosis: consensus statements from the Scientific Advisory Board of the Osteoporosis Society of Canada. 7. Fluoride therapy for osteoporosis.骨质疏松症的预防与管理:加拿大骨质疏松症协会科学咨询委员会的共识声明。7. 用于治疗骨质疏松症的氟化物疗法
CMAJ. 1996 Oct 1;155(7):949-54.
5
[Fluoride in osteoporosis: still an experimental and controversial treatment].[氟化物治疗骨质疏松症:仍是一种实验性且存在争议的治疗方法]
Ned Tijdschr Geneeskd. 1998 Aug 22;142(34):1913-5.
6
Fluoride salts for vertebral osteoporosis: the benefit-to-risk ratio depends on the cumulative dose reaching bone.用于治疗椎体骨质疏松症的氟化物盐:获益风险比取决于到达骨骼的累积剂量。
Osteoporos Int. 1993;3 Suppl 1:211-4. doi: 10.1007/BF01621910.
7
Side-effects of fluoride therapy.氟化物治疗的副作用。
Baillieres Clin Rheumatol. 1991 Apr;5(1):61-76. doi: 10.1016/s0950-3579(05)80296-1.
8
[Treatment of common osteoporosis with fluoride: current trends].[氟化物治疗常见骨质疏松症:当前趋势]
Rev Rhum Mal Osteoartic. 1992 Jan;59(1):39-45.
9
Fluoride and osteoporosis.氟化物与骨质疏松症
Br Med J. 1973 Mar 10;1(5853):613. doi: 10.1136/bmj.1.5853.613-a.
10
Bone fragility of the peripheral skeleton during fluoride therapy for osteoporosis.骨质疏松症氟化物治疗期间外周骨骼的骨脆性
Clin Orthop Relat Res. 1990 Dec(261):268-75.

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J Environ Public Health. 2017;2017:5120504. doi: 10.1155/2017/5120504. Epub 2017 Jun 21.
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A scoping review of strategies for the prevention of hip fracture in elderly nursing home residents.老年疗养院居民预防髋部骨折策略的范围综述。
PLoS One. 2010 Mar 3;5(3):e9515. doi: 10.1371/journal.pone.0009515.
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Transdermal application of lovastatin to rats causes profound increases in bone formation and plasma concentrations.对大鼠经皮应用洛伐他汀可导致骨形成和血浆浓度显著增加。
Osteoporos Int. 2006;17(7):1033-42. doi: 10.1007/s00198-006-0079-0. Epub 2006 May 3.
4
Fluoride for treating postmenopausal osteoporosis.用于治疗绝经后骨质疏松症的氟化物。
Cochrane Database Syst Rev. 2000;2000(4):CD002825. doi: 10.1002/14651858.CD002825.
5
Influence of fracture criteria on the outcome of a randomized trial of therapy.
Osteoporos Int. 1998;8(2):184-91. doi: 10.1007/BF02672517.
6
Fluoride therapy of type I osteoporosis.I型骨质疏松症的氟化物治疗。
Clin Rheumatol. 1995 Sep;14 Suppl 3:26-31. doi: 10.1007/BF02210685.
7
The fluoridation of drinking water and hip fracture hospitalization rates in two Canadian communities.加拿大两个社区的饮用水氟化与髋部骨折住院率
Am J Public Health. 1993 May;83(5):689-93. doi: 10.2105/ajph.83.5.689.
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Drug-induced disorders of bone metabolism. Incidence, management and avoidance.药物性骨代谢紊乱。发病率、管理与预防
Drug Saf. 1994 Jun;10(6):480-9. doi: 10.2165/00002018-199410060-00006.
9
Human vertebral bone: relation of strength, porosity, and mineralization to fluoride content.人类椎骨:强度、孔隙率、矿化作用与氟含量的关系。
Calcif Tissue Int. 1980;32(3):189-94. doi: 10.1007/BF02408540.
10
Bilateral fractures of femoral neck in patients with moderate renal failure receiving fluoride for spinal osteoporosis.接受氟化物治疗脊柱骨质疏松症的中度肾衰竭患者双侧股骨颈骨折。
Br Med J (Clin Res Ed). 1983 Sep 10;287(6394):723-5. doi: 10.1136/bmj.287.6394.723.

本文引用的文献

1
Use of sodium fluoride in the treatment of osteoporosis.氟化钠在骨质疏松症治疗中的应用。
J Clin Endocrinol Metab. 1967 Feb;27(2):197-210. doi: 10.1210/jcem-27-2-197.
2
Prevalence of osteoporosis in high- and low-fluoride areas in North Dakota.北达科他州高氟和低氟地区骨质疏松症的患病率。
JAMA. 1966 Oct 31;198(5):499-504.
3
New bone formation in osteoporosis following treatment with sodium fluoride.
Arch Intern Med. 1966 Aug;118(2):111-6.
4
Response to sodium fluoride in severe primary osteoporosis.重度原发性骨质疏松症对氟化钠的反应
Ann Intern Med. 1965 Dec;63(6):1069-74. doi: 10.7326/0003-4819-63-6-1069.
5
[Treatment of osteoporosis with sodium fluoride. Morphological bone findings in 8 clinical cases].[用氟化钠治疗骨质疏松症。8例临床病例的骨形态学 findings]。 注:“findings”直译为“发现”,在这里结合语境,可能是指骨形态学方面的检查结果等,具体含义需结合完整文本进一步确定,暂译为“findings”。
Dtsch Med Wochenschr. 1969 Aug 29;94(35):1730-4. doi: 10.1055/s-0028-1110334.
6
Some results of the effect of fluoride on bone tissue in osteoporosis.氟化物对骨质疏松症骨组织影响的一些结果。
J Clin Endocrinol Metab. 1968 Jun;28(6):869-74. doi: 10.1210/jcem-28-6-869.
7
Serum fluoride analysis with the fluoride electrode.使用氟离子电极进行血清氟分析。
J Lab Clin Med. 1970 Jun;75(6):1020-5.
8
Effect of combined therapy with sodium fluoride, vitamin D and calcium in osteoporosis.氟化钠、维生素D和钙联合治疗对骨质疏松症的疗效
Am J Med. 1972 Jul;53(1):43-9. doi: 10.1016/0002-9343(72)90114-3.
9
Relationship of water fluoridation to bone density in two N.Y. towns.纽约两个城镇水氟化与骨密度的关系。
Public Health Rep (1896). 1969 Sep;84(9):815-25.
10
New approach to the treatment of bone disease with fluoride.用氟化物治疗骨病的新方法。
Fed Proc. 1970 May-Jun;29(3):1185-7.