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绝经后骨质疏松症治疗的当前研究(作者译)

[Current research in therapy of postmenopausal osteoporosis (author's transl)].

作者信息

Laroche C, Detilleux M, Sereni D

出版信息

Sem Hop. 1979;55(7-8):325-9.

PMID:220722
Abstract

The goals of osteoporosis treatment are not only to decrease bone resorption, but also and mainly to increase bone formation. Present research is based on bone histomorphometry and prospective double blind therapeutic studies. Physical exercise, adequate calcium intake oestrogen therapy in postmenopausal or oophorectomized women have been shown to be effective in prevention of the disease. A moderate beneficial effect of the association of synthetic anabolic steroids with oral calcium has been recognized. Better results are expected from combined treatments such as low doses of calcitonin and oral calcium, or vitamin D metabolites and sodium fluoride, and from stimulating bone formation by low doses of parat-hormone.

摘要

骨质疏松症治疗的目标不仅是减少骨吸收,而且主要是增加骨形成。目前的研究基于骨组织形态计量学和前瞻性双盲治疗研究。体育锻炼、绝经后或卵巢切除术后妇女摄入足够的钙以及雌激素治疗已被证明对预防该疾病有效。合成同化类固醇与口服钙联合使用具有一定的有益效果。低剂量降钙素与口服钙联合治疗、维生素D代谢物与氟化钠联合治疗等联合治疗,以及低剂量甲状旁腺激素刺激骨形成有望取得更好的效果。

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