Leszczyński Piotr
Oddział Reumatologii i Osteoporozy, Szpital im. Józefa Strusia w Poznaniu.
Chir Narzadow Ruchu Ortop Pol. 2010 May-Jun;75(3):168-71.
The most common treatment option for postmenopausal osteoporosis are the bisphosphonates which inhibit osteoclast function. Bisphosphonates interfere with cellular metabolism and in large clinical trials reduce risk of vertebral and non-vertebral fractures. Zoledronic acid is a potent bisphosphonate also approved for the treatment of postmenopausal osteoporosis. In addition zoledronic acid reduce relative risk of any new clinical fracture after surgical repair of low-trauma hip fracture. Also the reduction in the relative risk of death was observed after repeated once-yearly intravenous infusion. In conclusion, this is another interesting option for the treatment of the patients affected with osteoporosis and previous hip fractures.
绝经后骨质疏松症最常见的治疗选择是双膦酸盐类药物,这类药物可抑制破骨细胞功能。双膦酸盐类药物会干扰细胞代谢,并且在大型临床试验中可降低椎体和非椎体骨折的风险。唑来膦酸是一种强效双膦酸盐类药物,也被批准用于治疗绝经后骨质疏松症。此外,唑来膦酸可降低低创伤性髋部骨折手术修复后发生任何新临床骨折的相对风险。在每年重复进行一次静脉输注后,还观察到死亡相对风险有所降低。总之,对于患有骨质疏松症和既往有髋部骨折的患者,这是另一种有趣的治疗选择。