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[双膦酸盐在有骨转移的肿瘤患者中的长期应用]

[Long-term administration of biphosphonates in oncology patients with bone involvement].

作者信息

Adam Z, Vorlícek J, Tomíska M

机构信息

II. interní klinika Fakultní nemocnice Brno-Bohunice.

出版信息

Vnitr Lek. 1994 Oct;40(10):671-5.

PMID:7810088
Abstract

The usefulness of bisphosphonates in the treatment of acute hypercalcaemia has been known for some time. The problem of long-term administration of bisphosphonates to patients whose skeleton is afflicted with a malignant tumour is still being discussed. The benefit of ethidronate has not been confirmed. Clodronate and pamidronate administered in i.v. infusions or in adequate amounts by the oral route leads to a reduced incidence of hypercalcaemic crises and the number of pathological fractures. Both mentioned preparations diminish the intensity of pain, increase physical fitness and improve the quality of life of oncological patients. However, they do not prolong the survival period of these patients.

摘要

双膦酸盐在治疗急性高钙血症方面的有效性已为人所知有一段时间了。对于骨骼患有恶性肿瘤的患者长期使用双膦酸盐的问题仍在讨论中。依替膦酸的益处尚未得到证实。静脉输注或口服足量的氯膦酸盐和帕米膦酸盐可降低高钙血症危象的发生率和病理性骨折的数量。上述两种制剂均可减轻疼痛强度、增强体能并改善肿瘤患者的生活质量。然而,它们并不能延长这些患者的生存期。

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