在患有酒精使用障碍的患者中,迪苏尔菲拉姆治疗的骨质疏松效应
Soma Saha1, Monika Mittal2, Ravinder Goswami1
1Department of Endocrinology, All India Institute of Medical Sciences, New Delhi, New Delhi, IND.
Cureus
|December 16, 2024
概括
对酒精使用障碍的迪苏尔菲拉姆治疗显著降低腰椎骨矿物质密度,增加骨质疏松症的风险. 对接受这种治疗的患者来说,监测骨健康至关重要.
科学领域:
- 骨代谢和内分泌学 骨代谢和内分泌学
- 成 药物 药物 药物 药物
- 药理学 药理学是指药理学的学科.
背景情况:
- 迪苏尔菲拉姆是治疗酒精使用障碍 (AUD) 的关键药物.
- 饮酒会对骨健康产生负面影响.
- 之前的研究表明,迪苏尔菲拉姆可能会在老鼠中诱导骨质疏松症.
研究的目的:
- 为了评估dissulfiram对AUD患者骨矿物质密度 (BMD) 的影响.
- 评估在迪苏尔菲拉姆治疗期间骨循环标记物的变化.
主要方法:
- 一项对40名男性AUD患者进行的纵向观察性研究,这些患者开始使用disulfiram.
- 在基线和3,6,12个月的腰椎,部和前臂的BMD测量.
- 血清,,维生素D,iPTH,骨质卡尔和β-CTx水平进行分析.
主要成果:
- 在迪苏尔菲拉姆治疗后,腰椎骨干BMD显著下降 (p=0.003).
- 41.7%的患者在12个月后表现出显著的骨质量损失.
- 骨周转的标志物β-CTx/骨素比率显著增加 (p=0.033).
结论:
- 迪苏尔菲拉姆治疗与AUD患者的腰椎骨干BMD减少有关.
- 骨周转率增加表明骨质疏松症的风险.
- 建议对患者进行定期的骨健康监测.
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