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[氟化物在骨质疏松症治疗中的应用]

[The use of fluoride in the treatment of osteoporosis].

作者信息

Bohatyrewicz A

机构信息

Katedry i Kliniki Ortopedii i Traumatologii PAM w Szczecinie.

出版信息

Chir Narzadow Ruchu Ortop Pol. 1998;63(3):267-71.

PMID:9734172
Abstract

Fluorides salts are used in the treatment for osteoporosis for 30 years, since their anabolic action on trabecular bone is well documented, but safety and efficacy of this treatment is still debated. Fluoride administration results in increased number and level of activity of osteoblasts leading to thicker trabeculae. The highest fluoride concentration and activity can be found within newly formed osteoid. Recommended dose is 15-25 mg per day, that is 33-55 mg of sodium fluoride or 140-190 of Na2FPo3. Calcium and vitamin D should be prescribed to all patients concurrently. Most frequent side effects include bone pain and dyspeptic problems.

摘要

氟化物盐用于治疗骨质疏松症已有30年,因为其对小梁骨的合成代谢作用已有充分记录,但这种治疗方法的安全性和有效性仍存在争议。服用氟化物会导致成骨细胞数量增加和活性增强,从而使小梁骨变厚。在新形成的类骨质中可发现最高的氟化物浓度和活性。推荐剂量为每天15 - 25毫克,即33 - 55毫克氟化钠或140 - 190毫克Na2FPo3。所有患者都应同时服用钙和维生素D。最常见的副作用包括骨痛和消化不良问题。

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