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利塞膦酸钠治疗绝经后骨质疏松症的疗效与安全性。

Efficacy and safety of risedronate sodium in treatment of postmenopausal osteoporosis.

作者信息

Li Yuming, Zhang Zhongzhi, Deng Xiuling, Chen Lulu

机构信息

Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.

出版信息

J Huazhong Univ Sci Technolog Med Sci. 2005;25(5):527-9. doi: 10.1007/BF02896007.

Abstract

To evaluate the efficacy and safety of risedronate sodium in treatment of postmenopausal osteoporosis, one-year randomized, double blind clinical trial was performed among 54 women with postmenopausal osteoporosis. The changes were compared in bone mineral density (BMD), bone metabolism markers and adverse events after 12 months oral administration of risedronate sodium. BMD was measured by dual energy X-ray absorptionmetry (DEXA) and bone turnover marker was detected. The results showed that there was a significant increase in BMD of the lumbar spine (3.29% +/- 1.18%, 4.51% +/- 1.64% respectively) after 6 and 12 months in the risedronate treatment group versus placebo control group (-0.62% +/- 0.24%, 0.48% +/- 0.18% respectively). Bone turnover was decreased to a stable nadir over 6 and 12 months for resorption markers [N-Telopeptide (NTx), P < 0.05] and over 12 months for formation marker (ALP, P < 0.05; BGP, P < 0.05). The safety profile of risedronate sodium was similar to that of placebo. There were no trends toward increased frequency of any adverse experience except for gastrointestinal symptoms (7.1%), rash (7.1%) and hematuria (3.6%), which were usually mild, transient, and resolved with continued treatment. It was concluded that risedronate was an efficacious and safe drug in treatment of postmenopausal osteoporosis.

摘要

为评估利塞膦酸钠治疗绝经后骨质疏松症的疗效和安全性,对54例绝经后骨质疏松症女性进行了为期一年的随机双盲临床试验。比较口服利塞膦酸钠12个月后骨密度(BMD)、骨代谢标志物和不良事件的变化。采用双能X线吸收法(DEXA)测量BMD并检测骨转换标志物。结果显示,与安慰剂对照组(分别为-0.62%±0.24%、0.48%±0.18%)相比,利塞膦酸钠治疗组在6个月和12个月后腰椎BMD显著增加(分别为3.29%±1.18%、4.51%±1.64%)。骨吸收标志物在6个月和12个月时骨转换降至稳定最低点(N-端肽(NTx),P<0.05),骨形成标志物在12个月时降至稳定最低点(碱性磷酸酶(ALP),P<0.05;骨钙素(BGP),P<0.05)。利塞膦酸钠的安全性与安慰剂相似。除胃肠道症状(7.1%)、皮疹(7.1%)和血尿(3.6%)外,未发现任何不良事件发生频率增加的趋势,这些症状通常较轻、短暂,且持续治疗后可缓解。结论是利塞膦酸钠是治疗绝经后骨质疏松症的一种有效且安全的药物。

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