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酸甘油膏对绝经后妇女骨密度和强度的影响:一项随机试验
Sophie A Jamal1, Celeste J Hamilton, Richard Eastell
1Department of Medicine, University of Toronto, Toronto, Ontario, Canada. sophie.jamal@utoronto.ca
JAMA
|February 24, 2011
概括
酸甘油膏在绝经后妇女中显著增加了骨矿物质密度 (BMD),改善了骨结构并减少了骨再吸收标志物. 这项研究强调了酸甘油的重要作用.
科学领域:
- 骨生物学和骨质疏松症研究
- 对骨健康的药理干预措施
- 在绝经后妇女的临床试验.
背景情况:
- 已知酸甘可以刺激骨的形成并抑制其再吸收.
- 它对骨密度,结构和强度的影响以前是未知的.
- 这项研究旨在研究这些影响在绝经后的妇女.
研究的目的:
- 为了确定酸甘是否会增加腰椎骨矿物质密度 (BMD).
- 为了评估部BMD,骨质几何,半径和骨密度的变化.
- 评估骨循环标记物的变化.
主要方法:
- 一个为期24个月的单中心,双盲,安慰剂控制的随机试验.
- 参与了243名具有低骨密度的绝经后妇女.
- 参与者接受了亚甘油膏 (15 mg/d) 或安慰剂.
主要成果:
- 酸甘显著增加了腰椎,全部和大腿部的BMD.
- 显著改善的体积椎骨质量,皮层厚度和骨强度指数.
- 骨特异性性酸酶增加,尿液N-端粒蛋白减少,表明吸收减少.
结论:
- 酸甘油膏在绝经后的女性中显示了BMD的适度增加.
- 治疗还导致骨再吸收的减少.
- 不良事件在各组之间是相似的,头痛是暂时的.
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