Soen Satoshi
Department of Orthopaedic Surgery and Rheumatology, Nara Hospital, Kinki University School of Medicine.
Clin Calcium. 2011 Jan;21(1):116-9.
The treatment efficacy of antiresorptive therapy, including bisphosphonates, is not fully accounted for by change in bone mineral density (BMD). The 1-year increases in hip BMD were reported to be associated with a reduction in spine fracture by using the data from FIT trial, but the changes in spine BMD that was greater than hip BMD were not associated with the risk of spine, non-spine, or hip fracture. On the other hand, the diagnosis of osteoporosis is made mainly by measurement of BMD. In this sense, BMD measurement is thought to be useful in will improvement for the treatment of the patients.
抗吸收治疗(包括双膦酸盐类药物)的治疗效果不能完全通过骨密度(BMD)的变化来解释。利用FIT试验的数据报告称,髋部BMD的1年增加与脊柱骨折减少相关,但脊柱BMD的变化大于髋部BMD,却与脊柱、非脊柱或髋部骨折风险无关。另一方面,骨质疏松症的诊断主要通过测量BMD来进行。从这个意义上讲,BMD测量被认为对改善患者的治疗是有用的。