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接受雌激素治疗的绝经后女性的骨折发生率及骨质保存情况。

Fracture frequency and bone preservation in postmenopausal women treated with estrogen.

作者信息

Jensen G F, Christiansen C, Transbøl I

出版信息

Obstet Gynecol. 1982 Oct;60(4):493-6.

PMID:7121935
Abstract

Two hundred eighty-five normal 70-year-old Danish women were divided according to postmenopausal use of gonadal hormones into 3 groups: 1 virtually untreated (3 months or less, N = 231), 1 treated over a short term (4 months to 6 years, N = 36), and 1 treated over a long term (6 years or more, N = 18). The 3 groups had been treated for a median of 0, 6, and 70%, respectively, of their postmenopausal years. The degree of bone loss varied inversely with the duration of postmenopausal hormone treatment. Bone mineral content was 11.8% higher in the long-term treated group than in the untreated group (P less than .05). Likewise, the metacarpal bone mass was 8.5% greater (P less than .01). The number of women with postmenopausal fractures was 13% lower in the long-term treated group than in the untreated group (Difference not significant). Data from this retrospective study present evidence that estrogen protects bones in elderly women.

摘要

285名70岁的丹麦正常绝经后女性根据其绝经后性腺激素的使用情况被分为3组:1组几乎未接受治疗(3个月或更短时间,N = 231),1组短期接受治疗(4个月至6年,N = 36),1组长期接受治疗(6年或更长时间,N = 18)。这3组女性在绝经后的时间里接受治疗的中位数分别为0%、6%和70%。骨质流失的程度与绝经后激素治疗的持续时间呈负相关。长期治疗组的骨矿物质含量比未治疗组高11.8%(P <.05)。同样,掌骨质量大8.5%(P <.01)。长期治疗组绝经后骨折的女性人数比未治疗组低13%(差异不显著)。这项回顾性研究的数据表明雌激素对老年女性的骨骼有保护作用。

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引用本文的文献

1
Estrogen replacement therapy for postmenopausal osteoporosis.绝经后骨质疏松症的雌激素替代疗法。
Can Fam Physician. 1986 Apr;32:883-91.
2
Salmon calcitonin nasal spray : An effective alternative to estrogen therapy in select postmenopausal women.鲑降钙素鼻喷雾剂:某些绝经后女性雌激素治疗的有效替代方案。
Endocrine. 1996 Oct;5(2):115-27. doi: 10.1007/BF02738696.
3
Parathyroid hormone in the treatment of involutional osteoporosis: back to the future.甲状旁腺激素治疗绝经后骨质疏松症:回归未来。
Osteoporos Int. 1997;7 Suppl 3:S163-8. doi: 10.1007/BF03194365.
4
Postmenopausal bone loss and the risk of osteoporosis.
Osteoporos Int. 1994;4 Suppl 1:47-51. doi: 10.1007/BF01623436.
5
Current status of postmenopausal oestrogen therapy.绝经后雌激素治疗的现状
Drugs. 1987 Feb;33(2):95-106. doi: 10.2165/00003495-198733020-00001.
6
Hormone replacement therapy acceptability to Nottingham post-menopausal women with a risk factor for osteoporosis.激素替代疗法对有骨质疏松症风险因素的诺丁汉绝经后女性的可接受性。
J R Soc Med. 1990 Nov;83(11):699-701. doi: 10.1177/014107689008301109.
7
Screening procedure for women at risk of developing postmenopausal osteoporosis.
Osteoporos Int. 1990 Oct;1(1):35-40. doi: 10.1007/BF01880414.