仙灵骨葆联合阿仑膦酸钠治疗骨质疏松症的临床观察 点击下载
论文标题: 仙灵骨葆联合阿仑膦酸钠治疗骨质疏松症的临床观察
英文标题:
中文摘要: 目的:观察仙灵骨葆联合阿仑膦酸钠治疗骨质疏松症的临床疗效及安全性。方法:将112例骨质疏松症患者按随机数字表法分为治疗组和对照组,各56例。两组患者均给予补充碳酸钙、维生素D及调整生活方式等一般治疗。对照组患者口服阿仑膦酸钠片10 mg,qd;治疗组患者在对照组基础上加服仙灵骨葆胶囊1.5 g,bid。两组患者均治疗12周。观察两组患者治疗前后血清钙(S-Ca)、血清磷(S-P)、24 h尿钙(U-Ca)、碱性磷酸酶(ALP)、骨钙素、白介素(IL)-6及L2~4腰椎和股骨颈骨密度(BMD)水平,并比较临床疗效及毒副反应情况。结果:两组患者治疗后S-Ca、S-P水平比较,差异均无统计学意义(P>0.05);两组患者治疗后ALP、骨钙素、BMD水平显著升高,U-Ca、IL-6水平较治疗前显著降低,且治疗组优于对照组,差异有统计学意义(P<0.05)。两组患者治疗后L2~4腰椎和股骨颈治疗组患者总有效率(92.86%)显著高于对照组(73.21%),差异有统计学意义(P<0.05)。两组患者均未见明显毒副反应。结论:仙灵骨葆联合阿仑膦酸钠治疗骨质疏松症患者疗效显著,且安全性较好。
英文摘要: OBJECTIVE: To observe clinical efficacy and safety of Xianlinggubao combined with alendronate sodium in the treatment of osteoporosis. METHODS: 112 patients with osteoporosis were randomly divided into treatment group and control group with 56 cases in each group. Both group were given routine treatment as calcium carbonate, vitamin D and life style. Control group were given alendronate sodium 10 mg orally, qd; treatment group was additionally given Xianlinggubao capsule 1.5 g, bid, on the basis of control group. Both groups received 12 weeks of treatment. The levels of S-Ca, S-P, 24 h urinary calcium (U-Ca), alkaline phosphatase (ALP), osteocalcin, IL-6, bone mineral density (BMD) of L2-4 lumbar spine and femoral neck were observed in 2 groups before and after treatment. ?Clinical efficacy and toxic reaction were compared. RESULTS: There was no statistical significance in the levels of S-P and S-Ca between 2 groups after treatment (P>0.05); the level of ALP、osteocalcin、BMD increased in treatment group after treatment, the level of U-Ca and IL-6 decreased compared to before treatment, and the treatment group was better than the control group, with statistical significance (P<0.05). Total effective rate of treatment group (92.86%) was significantly higher than that of control group (73.21%), with statistical significance (P<0.05). No obvious toxic side effects was found in 2 groups. CONCLUSIONS: Xianlinggubao combined with alendronate sodium shows significant therapeutic efficacy for patients with osteoporosis with good safety.
期刊: 2016年第27卷第17期
作者: 侯晓升,姜文晓,庄建
英文作者: HOU Xiaosheng,JIANG Wenxiao,ZHUANG Jian
关键字: 骨质疏松症;仙灵骨葆胶囊;阿仑膦酸钠;疗效;安全性
KEYWORDS: Osteoporosis; Xianlinggubao capsule; Alendronate sodium; Clinical efficacy; Safety
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