阿仑膦酸钠对绝经后女性骨质疏松症患者动脉粥样硬化影响的研究

被引:16
作者
陈基敏
陈咸川
谢吟灵
机构
[1] 上海中医药大学附属岳阳中西医结合医院老年科
关键词
阿仑膦酸钠; 骨质疏松; 绝经后; 动脉硬化; 血脂; 超敏C反应蛋白;
D O I
暂无
中图分类号
R580 []; R543.5 [动脉疾病];
学科分类号
100201 [内科学];
摘要
目的探讨阿仑膦酸钠对绝经后女性骨质疏松症患者动脉粥样硬化的影响。方法选取我院96例绝经后女性骨质疏松症患者,随机分为实验组(51例)和对照组(45例),2组患者均进行常规药物治疗(调脂、抗血小板聚集、补充阿法骨化醇等),实验组患者给予阿仑膦酸钠70mg口服,每周1次,疗程6个月。比较治疗前后2组患者的骨密度(BMD)、踝臂指数(ABI)、颈动脉内膜中层厚度(CIMT)、颈动脉粥样斑块积分(PI)、血脂各组分及超敏C反应蛋白(hs-CR)的变化。结果实验组患者治疗后BMD、ABI、CIMT、PI、总胆固醇、甘油三酯及hs-CRP与对照组比较,差异有显著性(P<0.05或<0.01),2组患者治疗后高密度脂蛋白和低密度脂蛋白比较,差异无显著性(P>0.05);2组患者治疗期间发生不良反应的差异无显著性(P>0.05)。结论阿仑膦酸钠可以改善绝经后女性骨质疏松症患者动脉粥样硬化的程度,降低动脉硬化并发症风险。
引用
收藏
页码:544 / 547
页数:4
相关论文
共 11 条
[1]
Biomedical applications of bisphosphonates [J].
Giger, Elisabeth V. ;
Castagner, Bastien ;
Leroux, Jean-Christophe .
JOURNAL OF CONTROLLED RELEASE, 2013, 167 (02) :175-188
[2]
The relationship between insulin resistance and osteoporosis in elderly male type 2 diabetes mellitus and diabetic nephropathy [J].
Xia, Jinwei ;
Zhong, Yuan ;
Huang, Gaozhong ;
Chen, Yajuan ;
Shi, Huipen ;
Zhang, Zhenlin .
ANNALES D ENDOCRINOLOGIE, 2012, 73 (06) :546-551
[3]
Differential effect of zoledronic acid on human vascular smooth muscle cells.[J].Hassan Albadawi;Mounir J. Haurani;Rahmi Oklu;Jordan P. Trubiano;Peter J. Laub;Hyung-Jin Yoo;Michael T. Watkins.Journal of Surgical Research.2012,
[4]
Relationship between decreased bone mineral density and subclinical atherosclerosis in postmenopausal women [J].
Celik, C. ;
Altunkan, S. ;
Yildirim, M. O. ;
Akyuz, M. .
CLIMACTERIC, 2010, 13 (03) :254-258
[5]
Effects of Treatment With Risedronate and Alfacalcidol on Progression of Atherosclerosis in Postmenopausal Women With Type 2 Diabetes Mellitus Accompanied With Osteoporosis [J].
Kanazawa, Ippei ;
Yamaguchi, Toru ;
Hayashi, Kumi ;
Takase, Hirofumi ;
Shimizu, Tadashi ;
Sugimoto, Toshitsugu .
AMERICAN JOURNAL OF THE MEDICAL SCIENCES, 2010, 339 (06) :519-524
[6]
Bone mineral density, arterial stiffness, and coronary atherosclerosis in healthy postmenopausal women [J].
Seo, Seok Kyo ;
Cho, SiHyun ;
Kim, Hye Yeon ;
Choi, Young Sik ;
Park, Ki Hyun ;
Cho, Dong Jae ;
Lee, Byung Seok .
MENOPAUSE-THE JOURNAL OF THE NORTH AMERICAN MENOPAUSE SOCIETY, 2009, 16 (05) :937-943
[7]
Relationship of calcification of atherosclerotic plaque and arterial stiffness to bone mineral density and osteoprotegerin in postmenopausal women referred for osteoporosis screening [J].
Frost, Michelle L. ;
Grella, Rodolpho ;
Millasseau, Sandrine C. ;
Jiang, Ben-yu ;
Hampson, Geeta ;
Fogelman, Ignac ;
Chowienczyk, Phil J. .
CALCIFIED TISSUE INTERNATIONAL, 2008, 83 (02) :112-120
[8]
阿仑膦酸钠治疗动脉粥样硬化疗效观察 [J].
罗石坚 ;
农盛雄 ;
郭茹 ;
何艳 .
中华老年医学杂志, 2014, 33 (02)
[9]
阿仑膦酸钠对绝经后骨质疏松症患者骨代谢指标的影响 [J].
杜春莹 ;
胡肇衡 ;
陈玲 ;
段俊红 .
中国骨质疏松杂志, 2014, 20 (01) :22-25
[10]
原发性骨质疏松症诊治指南(2011年).[J]..中华骨质疏松和骨矿盐疾病杂志.2011, 01