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雷洛昔芬(易维特)在绝经后骨质疏松症治疗与预防中的作用

[The role of raloxifene (Evista) in the treatment and prevention of postmenopausal osteoporosis].

作者信息

Korsić Mirko

机构信息

Klinika za unutrasnje bolesti Medicinskoga fakulteta Sveucilista u Zagrebu Klinicki bolnicki centar Zagreb, Kispatićeva 12, 10000 Zagreb.

出版信息

Reumatizam. 2003;50(2):55-7.

Abstract

According to epidemiological studies in Croatia 250,000 women suffer from osteoporosis and 400,000 have osteopenia. Since osteoporosis is a disease of the elderly, and the number of older people continues to grow, it is expected that this disease and its complications (fractures) will soon become an epidemiological problem. Antiresorptive drugs include raloxifene (Evista). Raloxifene is recommended for the treatment and prevention of osteoporosis in postmenopausal women, without vasomotor symptoms. Before selection of an antiresorptive drug it is important to know not only its bone efficacy, but also other possible favorable influences on the organism. Raloxifene has positive effect on BMD (Bone Mineral Density) and bone quality. It has proven efficacy in osteoporotic fracture prevention. It is also important to emphasize the positive effect of raloxifene on the cardiovascular system and its protective effect on the breast. Raloxifene is well tolerable and is easy to take (one tablet daily, with or without food). Numerous scientific articles point to the many benefits of raloxifene. Here we would like to present the results from a randomised clinical study entitled MORE (Multiple Outcomes of Raloxifene Evaluation) conducted on 7700 postmenopausal women.

摘要

根据克罗地亚的流行病学研究,25万名女性患有骨质疏松症,40万名女性患有骨质减少症。由于骨质疏松症是一种老年疾病,且老年人数量持续增长,预计这种疾病及其并发症(骨折)将很快成为一个流行病学问题。抗吸收药物包括雷洛昔芬(易维特)。雷洛昔芬被推荐用于治疗和预防无血管舒缩症状的绝经后女性的骨质疏松症。在选择抗吸收药物之前,不仅要了解其对骨骼的疗效,还要了解其对机体其他可能的有利影响。雷洛昔芬对骨密度(BMD)和骨质有积极作用。它已被证明在预防骨质疏松性骨折方面有效。同样重要的是要强调雷洛昔芬对心血管系统的积极作用及其对乳腺的保护作用。雷洛昔芬耐受性良好,服用方便(每日一片,可与食物同服或空腹服用)。众多科学文章指出了雷洛昔芬的诸多益处。在此,我们想展示一项针对7700名绝经后女性进行的名为MORE(雷洛昔芬评估的多重结果)的随机临床研究的结果。

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